IndividualActive
Marvin Travis, B.S. ED ESE
NPI 1467042903 · Mental Health Occupational Therapist · Canton, MI
Provider details
- NPI number
- 1467042903
- Entity type
- Individual
- Primary specialty
- Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.S. ED ESE
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
43825 Michigan Ave Ste 2
Canton, MI 48188-2551
Phone: (734) 713-0080
Approximate (ZIP-level) locationGet directions
Mailing address
43825 Michigan Ave Ste 2
Canton, MI 48188-2551
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.