Individual
TRAVIS BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1992 W ANTELOPE DR STE 1D, LAYTON, UT 84041-4974
(801) 773-2633
Mailing address
3681 S 2000 E APT 2, SALT LAKE CITY, UT 84109-4319
(435) 659-7552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10962470-4201
UT
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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