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NPI Code Detail

MEDICARE: TRAVIS AMISON QMHS

MEDICARE: TRAVIS AMISON QMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1083550792
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS AMISON QMHS
Provider Business Mailing Address
First Line : 1740 TREMAINSVILLE RD
Second Line :
City : TOLEDO
State : OH
Zip : 43613-4039
Country : US
Telephone Number : 313-772-1474
Fax Number :
Provider Business Practice Location Address
First Line : 1740 TREMAINSVILLE RD
Second Line :
City : TOLEDO
State : OH
Zip : 43613-4039
Country : US
Telephone Number : 313-772-1474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2026
Last Update Date : 04/25/2026

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Directions to “ TRAVIS AMISON QMHS” Practice Location

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