NPI 1194324509

Travis Cantrell

Practitioner Driver Cabot, AR

Practice location

Address: 3148 Highway 367 S, Cabot, AR 72023-7473
Phone: (501) 268-3400

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1194324509
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2020
Record last updated: 19 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.