Fuller, Travis

Fuller, Travis is an individual health care provider with primary practice located at 400 Old Brandon Rd Apt 903 , Hillsboro TX 76645-2394. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Fuller, Travis can be contacted via phone (815) 791-0354.

Contact Information

Primary practice address
400 Old Brandon Rd Apt 903 Hillsboro TX 76645-2394
Phone: (815) 791-0354
Fax: (815) 791-0354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1922537075
LBN Legal business name Fuller, Travis
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2017
Last updated Jun 11th, 2017 - about 7 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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