| Doctor Name: | DR. TRAVIS COLBY MARTIN |
| NPI Number: | 1780047050 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 43329 |
| Business Practice Address: | 8805 Haven Ave Suite 200 Rancho Cucamonga, CA - 917305149 |
| Business Phone Number: | 9099121750 |
| Business Fax Number: | |
| Mailing Address: | 1901 W Lugonia Ave, Ste 230 REDLANDS |
| State: | CA |
| Postal Code: | 923749705 |
| Phone Number: | 9093072815 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2016 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 43329 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |