Travis Lee Brakeman, PT

NPI #1205392925 in Ukiah, California

Provider Information

NPI Number: 1205392925
Entity Type: Individual
Name: Travis Lee Brakeman, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 19, 2019
Last Updated: Feb 19, 2019

Practice Location

Address: 271 OBSERVATORY AVE
City: Ukiah
State: California
ZIP Code: 95482
Phone: (707) 463-7346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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