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Travis Thoms

NPI 1558751537 · on the registry since 2015 · sole proprietor

Practice

Address
1111 S Orchard St Ste 158
Boise, ID 83705
Phone
(208) 900-3878
Organisation at this address
Tdandc Llc
Prov16, Llc
Xpert Care Llc
Toni Sparks, Pa
All Together Now
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
NM, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho