Mr Travis Jeffrey Peacock, LMT is a
Massage Therapist based in Utica, Kentucky. Mr Travis Jeffrey Peacock is licensed to practice in Kentucky (license number KY3559) and his current practice location is
10100 Us Highway 231, Utica, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 925-0024.
NPI number for Mr Travis Jeffrey Peacock is 1083931448 and his current mailing address is 10100 Us Highway 231, Utica, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083931448.
Healthcare Provider's Profile
Full Name | Mr Travis Jeffrey Peacock |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 10100 Us Highway 231, Utica, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083931448
- Provider Enumeration Date: 04/26/2010
- Last Update Date: 04/26/2010
Medical Identifiers
Medical identifiers for Mr Travis Jeffrey Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083931448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | KY3559 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Travis Jeffrey Peacock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Travis Jeffrey Peacock, LMT 10100 Us Highway 231, Utica, KY 42376-9340 Ph: (270) 925-0024 | Mr Travis Jeffrey Peacock, LMT 10100 Us Highway 231, Utica, KY 42376-9340 Ph: (270) 925-0024 |
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