Tillery, Travis J

Tillery, Travis J is an individual health care provider with primary practice located at 840 Ne 70Th St , Miami FL 33138-5714. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Other Service Providers / Health Educator. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist is his primary health care specialty. Tillery, Travis J can be contacted via phone (786) 972-9120.

Contact Information

Primary practice address
840 Ne 70Th St Miami FL 33138-5714
Phone: (786) 972-9120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1043557192
LBN Legal business name Tillery, Travis J
Credentials B.S ECONOMICS/HEALTH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Jan 15th, 2013 - about 11 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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