Travis Grondel, PTA

NPI #1003277484 in Las Vegas, Nevada

Provider Information

NPI Number: 1003277484
Entity Type: Individual
Name: Travis Grondel, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 14, 2016
Last Updated: Mar 14, 2016

Practice Location

Address: 3831 W CHARLESTON BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89102-1859
Phone: (702) 876-1733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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