Travis Lee Prange, PT, DPT

NPI #1992276240 in Las Vegas, Nevada

Provider Information

NPI Number: 1992276240
Entity Type: Individual
Name: Travis Lee Prange, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 5546 S FORT APACHE RD STE 100B
City: Las Vegas
State: Nevada
ZIP Code: 89148-7693
Phone: (702) 798-4778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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