Travis Charles Smith

NPI #1477184869 in Jackson, Kentucky

Provider Information

NPI Number: 1477184869
Entity Type: Individual
Name: Travis Charles Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 4, 2020
Last Updated: Feb 4, 2020

Practice Location

Address: 420 JETT DR
City: Jackson
State: Kentucky
ZIP Code: 41339-9621
Phone: (606) 666-2456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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