Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAX TRAVIS MAHAFFEY, ATC, LAT
Active Sole ProprietorMAX TRAVIS MAHAFFEY, ATC, LAT is a 2083S0010X healthcare provider located in ALEXANDRIA, Louisiana. NPI 1154546802 is currently active in the NPPES registry. Verify at CMS.
2083S0010X · ALEXANDRIA, LA
Registration Details
- NPI Number
- 1154546802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.28663099351 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ATH.200021 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3347 MASONIC DRALEXANDRIA, LA, 713013842Browse LA providers · Browse ZIP 71301
- Phone
- 3184484959
- Primary Specialty
-
2083S0010X
2083S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.