Petty, Travis

Petty, Travis is an individual health care provider with primary practice located at 1800 Bluegrass Ave , Louisville KY 40215-1130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Petty, Travis can be contacted via phone (502) 361-2301.

Contact Information

Primary practice address
1800 Bluegrass Ave Louisville KY 40215-1130
Phone: (502) 361-2301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A03896 Kentucky

Profile Details

NPI number 1720558646
LBN Legal business name Petty, Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2018
Last updated Dec 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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