Search › Kansas › 363LF0000X
Travis Thibault
NPI 1861990566 · on the registry since 2018 · sole proprietor
Practice
- Address
- 8438 Timber Ridge Dr
De Soto, KS 66018 - Phone
- (913) 260-9250
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MO, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-27
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 Kansas