MR. Travis Cruise West, PTA

NPI #1093282543 in Athens, Tennessee

Provider Information

NPI Number: 1093282543
Entity Type: Individual
Name: MR. Travis Cruise West, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 1, 2018
Last Updated: Nov 1, 2018

Practice Location

Address: 1204 FRYE ST
City: Athens
State: Tennessee
ZIP Code: 37303
Phone: (423) 745-0434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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