SHELBY TRAVIS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1417750498

Practice Address

530 NE GLEN OAK AVE
Peoria, IL 61637

Phone: (309) 655-4163

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1417750498 is the National Provider Identifier for SHELBY TRAVIS, a Student in an Organized Health Care Education/Training Program provider located in Peoria, IL. This NPI was enumerated on March 27, 2025.
SHELBY TRAVIS practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.

Quick Facts

NPI
1417750498
Type
Individual
Enumerated
Mar 27, 2025
Last Updated
Mar 27, 2025

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