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DR. TRAVIS ELLIOTT D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1063578128

Individual Registrant:
DR. TRAVIS  ELLIOTT D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1 S SENECA AVE STE A  NEWCASTLE, WY 82701-2807 US
Tel: 307-746-9200  Fax: 307-746-9200

Contact information for business:
1 S SENECA AVE STE A  NEWCASTLE, WY 82701-2807 US
Tel: 307-746-9200  Fax: 307-746-9200

Registration Information:
NPI: 1063578128
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
WY607

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
7601610SD05
RAILROAD MEDICAREP0006867601




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