Doctor Name: | TONY TRAVIS |
NPI Number: | 1083731285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PTD1525R |
Business Practice Address: | 1601 Shortcut Hwy Suite B Slidell, LA - 704588047 |
Business Phone Number: | 9856413818 |
Business Fax Number: | |
Mailing Address: | 74700 Highway 41, PEARL RIVER |
State: | LA |
Postal Code: | 704522924 |
Phone Number: | 9858638595 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTD1525R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |