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Individual

MR. JOHN TODD TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.T.C., M.S., P.T.

Contact information

Practice address
2382 W MAIN ST, SALEM, WV 26426-7521
(304) 782-1052
(304) 782-1053
Mailing address
2382 W MAIN ST, SALEM, WV 26426-7521
(304) 782-1052
(304) 782-1053

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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