Tyson, Travis Jerrod
Tyson, Travis Jerrod is an sole proprietor health care provider with primary practice located at 12225 Cranford Dr , Woodbridge VA 22192-5453. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Tyson, Travis Jerrod can be contacted via phone (240) 351-1461.Contact Information
Primary practice address
12225 Cranford Dr
Woodbridge VA 22192-5453
Phone: (240) 351-1461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 0019016357 | Virginia |
Profile Details
| NPI number | 1679227441 |
|---|---|
| LBN Legal business name | Tyson, Travis Jerrod |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2022 |
| Last updated | Feb 9th, 2022 - about 3 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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