Travis Arthur McCormack, MA ATC
Specialist/Technologist, Athletic Trainer in Washington, DC. Individual provider (NPI-1).
NPI number1164058376
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1164058376
- Entity type
- Individual (NPI-1)
- Name
- Mr. Travis Arthur McCormack
- Credential
- MA ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
Georgetown University 37th And O St NwWashington, DC 20057-0001
Phone 202-687-2362 · Fax 202-687-4117
Mailing address
18815 Cross Country LnGaithersburg, MD 20879-4612
Phone 908-797-2530 · Fax 202-687-4117
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