National Provider Identifier
Travis Groth
Travis Groth is listed in the NPPES registry with a primary specialty of Massage Therapist in East Amherst, NY and a listed phone number of (716) 688-8815.
Profile Overview
- NPI
- 1396363636
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- July 13, 2020
- Last Updated
- July 13, 2020
Practice Location
- 4754 N French RD
- East Amherst, NY 14051-2176
Phone: (716) 688-8815
Mailing Address
- 2283 Grand Island Blvd
- Grand Island, NY 14072-1819
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1396363636
- Entity Type
- Individual
- Last Name
- Groth
- First Name
- Travis
- Mailing Street Address
- 2283 Grand Island Blvd
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-1819
- Mailing Country
- US
- Practice Street Address
- 4754 N French RD
- Practice City
- East Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-2176
- Practice Country
- US
- Practice Phone
- (716) 688-8815
- Enumeration Date
- July 13, 2020
- Last Updated
- July 13, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)