Blake Travers
Blake Travers is a Student in an Organized Health Care Education/Training Program in Jackson, Tennessee. Licensed in Kentucky. Registered with an NPI since 2026.
- Licensed in
- KY
- In the registry since
- 2026
Practice location Address checks out
1050 Union University DrJackson, TN 38305-3697
Phone: (270) 508-0552
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence I17135 (KY) |
|---|
Record details
| NPI number | 1629998232 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 16, 2026 |
| Last updated in NPPES | July 16, 2026 |
| Certification date | July 16, 2026 |
| Mailing address | 1027 Us Highway 60 W, Smithland, KY 42081-8942 |
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