| Doctor Name: | TRAVIS AMMONS |
| NPI Number: | 1073935870 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT17217 |
| Business Practice Address: | 2101 Ken Ct Mount Dora, FL - 327572315 |
| Business Phone Number: | 3528753266 |
| Business Fax Number: | |
| Mailing Address: | 2101 Ken Ct, MOUNT DORA |
| State: | FL |
| Postal Code: | 327572315 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2014 |
| NPI Last Update Date: | 01/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | PT17217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |