Provider Demographics
NPI:1932426111
Name:TRAVIS, AARON ZACHARY (AP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:ZACHARY
Last Name:TRAVIS
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 S FEDERAL HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5027
Mailing Address - Country:US
Mailing Address - Phone:561-312-6798
Mailing Address - Fax:561-278-2399
Practice Address - Street 1:1060 S FEDERAL HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5027
Practice Address - Country:US
Practice Address - Phone:561-312-6798
Practice Address - Fax:561-278-2399
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1868171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist