NPI 1366864209

Travis Krawl

Practitioner Contractor Provo, UT

Practice location

Address: 363 N University Ave STE 108a, Provo, UT 84601-8426
Phone: (801) 377-2760
Mailing address: 815 S Bridge Way Pl STE 116, Eagle, ID 83616-6021

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2013PCA97387 (UT)

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Registry record

NPI: 1366864209
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2014
Record last updated: 13 Jan 2014

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.