Lytle, Travis

Lytle, Travis is an individual health care provider with primary practice located at 411 Huku Lii Pl Ste 101 , Kihei HI 96753-7062. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Lytle, Travis can be contacted via phone (808) 879-0077.

Contact Information

Primary practice address
411 Huku Lii Pl Ste 101 Kihei HI 96753-7062
Phone: (808) 879-0077
Fax: (808) 879-0177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6994 Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5519 Hawaii

Profile Details

NPI number 1639251242
LBN Legal business name Lytle, Travis
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Dec 30th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639251242 NPPES
Connecticut Other 080006994CT24 ANTHEM BC BS

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