Koehn, Travis Lee
Koehn, Travis Lee is an sole proprietor health care provider with primary practice located at 105 Saddle Trail Dr , Lufkin TX 75904-7590. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Koehn, Travis Lee can be contacted via phone (402) 750-9995.Contact Information
Primary practice address
105 Saddle Trail Dr
Lufkin TX 75904-7590
Phone: (402) 750-9995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1013549880 |
|---|---|
| LBN Legal business name | Koehn, Travis Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2020 |
| Last updated | Feb 10th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013549880 | NPPES |
| Texas | MEDICAID | 020809 |
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