Individual
TRAVIS LEE PRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5546 S FORT APACHE RD STE 100B, LAS VEGAS, NV 89148-7693
(702) 798-4778
(702) 798-4779
Mailing address
4191 TARKIN AVE, LAS VEGAS, NV 89120-4248
(702) 526-7894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3903
NV
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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