Travis Duane Quiller, Au.D.
Audiologist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1679736680
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1679736680
- Entity type
- Individual (NPI-1)
- Name
- Travis Duane Quiller
- Credential
- Au.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2008
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 23002847A | IN | Yes |
| 231H00000X | Audiologist | 8628 | NC | |
| 231HA2400X | Audiologist, Assistive Technology Practitioner | 8628 | NC | |
| 231HA2500X | Audiologist, Assistive Technology Supplier | 8628 | NC | |
| 237600000X | Audiologist-Hearing Aid Fitter | 8628 | NC | |
| 237700000X | Hearing Instrument Specialist | 8628 | NC | |
| 235500000X | Specialist/Technologist | 8628 | NC |
Practice location
10021 Dupont Circle CtFort Wayne, IN 46825-1604
Phone 260-426-8117 · Fax 260-420-0817
Mailing address
10021 Dupont Circle CtFort Wayne, IN 46825-1604
Phone 260-426-8117 · Fax 260-420-0817
Other practice locations
10021 Dupont Circle Ct
Fort Wayne, IN 46825
Fort Wayne, IN 46825
Phone 260-426-8117 · Fax 260-420-0817
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All 58 Audiologist providers in Fort Wayne · All 11,302 providers in Fort Wayne
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