Travis Kiser, AT, ATC
Physical Medicine & Rehabilitation, Sports Medicine in East Lansing, MI. Individual provider (NPI-1).
NPI number1164072732
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1164072732
- Entity type
- Individual (NPI-1)
- Name
- Travis Kiser
- Credential
- AT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2019
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 2601001896 | MI | Yes |
Practice location
1720 Abbey Rd Ste AEast Lansing, MI 48823-6363
Phone 517-333-6692 · Fax 517-333-6705
Mailing address
6922 Calson DrLansing, MI 48911-6520
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