Travis Physical Therapy & Sports Medicine Inc

LBN: Travis Physical Therapy & Sports Medicine Inc
Travis Physical Therapy & Sports Medicine Inc is an health care organization with primary practice located at Rr 1 Box 75-3 , Salem WV 26426-9604. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Travis Physical Therapy & Sports Medicine Inc can be contacted via phone (304) 782-1052, or through Travis, John Todd via phone (304) 782-1052.

Contact Information

Primary practice address
Rr 1 Box 75-3 Salem WV 26426-9604
Fax: (304) 782-1053
Website:
Authorized official contact:
Name: Travis, John Todd ATC MS PT

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 987 West Virginia

Profile Details

NPI number 1760557565
LBN Legal business name Travis Physical Therapy & Sports Medicine Inc
DBA Doing business as
Authorized official Travis, John Todd ATC MS PT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Feb 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760557565 NPPES
West Virginia MEDICAID 0156442000

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