Most Relevant Information
Provider Data
| NPI Number: | 1003427006 |
| Provider Name: | TRAVIS WADE SHAFFER |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 50546 |
Most Important Dates
| Enumeration Date: | 08/12/2020 |
| Last Updated: | 01/09/2022 |
Provider Practice Location
2908 E WHITMORE AVE STE E
CERES
CA
953072800
Practice Location Phone/Fax
| Phone: | 2092648934 |
| Fax: |
Provider Mailing Location
2908 E WHITMORE AVE STE E
CERES
CA
953072800
Provider Mailing Phone/Fax
| Phone: | 2092648934 |
| Fax: |