IndividualActive
Travis Krawl
NPI 1366864209 · Contractor · Provo, UT
Provider details
- NPI number
- 1366864209
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2013PCA97387 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
363 N University Ave Ste 108a
Provo, UT 84601-8426
Phone: (801) 377-2760
Approximate (ZIP-level) locationGet directions
Mailing address
815 S Bridge Way Pl Ste 116
Eagle, ID 83616-6021
Registry dates
- Enumerated
- 2014-01-13
- Last updated
- 2014-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.