Travis Laloli, ATC-R
Specialist/Technologist, Athletic Trainer in Sherwood, OR. Individual provider (NPI-1).
NPI number1922242544
StatusActive
Last updated in NPPESSep 28, 2009
Details
- NPI
- 1922242544
- Entity type
- Individual (NPI-1)
- Name
- Mr. Travis Laloli
- Credential
- ATC-R
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2009
- Last updated
- Sep 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 10119235 | OR | Yes |
Practice location
16956 Sw Meinecke RdSherwood, OR 97140-9061
Phone 503-825-5566 · Fax 503-825-5501
Mailing address
16956 Sw Meinecke RdSherwood, OR 97140-9061
Phone 503-825-5566 · Fax 503-825-5501
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