Doctor Name: | TRAVIS KOBLER |
NPI Number: | 1003204496 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 4308 Gap Road Knoxville, TN - 37912 |
Business Phone Number: | 8655250391 |
Business Fax Number: | 8655250393 |
Mailing Address: | 301 S Perimeter Park Dr, Suite 210 NASHVILLE |
State: | TN |
Postal Code: | 372114143 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/07/2015 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |