Travis Edward Tweedy

NPI #1245102409 in Carlyle, Illinois

Provider Information

NPI Number: 1245102409
Entity Type: Individual
Name: Travis Edward Tweedy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 18, 2025
Last Updated: Sep 18, 2025

Practice Location

Address: 10700 OLD STATE RD
City: Carlyle
State: Illinois
ZIP Code: 62231-6502
Phone: (618) 795-0351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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