Individual
MR. JOHN TODD TRAVIS
Active
Individual
MR. JOHN TODD TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., M.S., P.T.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
987
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156442000
—
WV
01
—
650010940
RAILROAD MEDICARE
WV
Enumeration date
09/14/2005
Last updated
07/10/2013
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