Doctor Name: | JUSTIN THOMAS TRAVIS |
NPI Number: | 1760644983 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 005315 |
Business Practice Address: | 2624 Ring Rd Suite 101 Elizabethtown, KY - 427019118 |
Business Phone Number: | 2709004052 |
Business Fax Number: | 2709004054 |
Mailing Address: | Po Box 1559, ELIZABETHTOWN |
State: | KY |
Postal Code: | 427021559 |
Phone Number: | 2709004052 |
Fax Number: | 2709004054 |
NPI Enumeration Date: | 06/29/2008 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 005315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |