TRAVIS R DEITZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005755

License Status

ACTIVE

Business

First Name

TRAVIS

Middle

Last Name

DEITZ

Business Name

TRAVIS R DEITZ

Original Issue Date

08/24/2011

Effective Date

08/29/2025

Expiration Date

09/30/2027

City

BLUFORD

State

Zip

62814

County

WAYNE

Ever Disciplined

LastModifiedDate

08/29/2025