Individual
MR. TRAVIS ANTHONY PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, MFA
Contact information
Practice address
3305 W MAYFLOWER WAY STE 4, LEHI, UT 84048-2961
(833) 208-9009
(866) 680-1322
Mailing address
3305 W MAYFLOWER WAY STE 4, LEHI, UT 84048-2961
(833) 208-9009
(866) 680-1322
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
08/26/2025
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