| Doctor Name: | MR. TRAVIS ROBERT DICKEY |
| NPI Number: | 1235586264 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | PT014418 |
| Business Practice Address: | 4329 Mahoning Ave. Nw Warren, OH - 44483 |
| Business Phone Number: | 3308477819 |
| Business Fax Number: | 3308478192 |
| Mailing Address: | 510 W. Main St., CANFIELD |
| State: | OH |
| Postal Code: | 44406 |
| Phone Number: | 3307020110 |
| Fax Number: | 3307020510 |
| NPI Enumeration Date: | 05/19/2016 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT014418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |