Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS WADE ROBERTSON, DPT
ActiveTRAVIS WADE ROBERTSON, DPT is a Physical Therapy Assistant healthcare provider located in BEVERLY, Illinois. NPI 1174042766 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BEVERLY, IL
Registration Details
- NPI Number
- 1174042766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2017 (8.9378303643243 yrs)
- Last Updated
- Sep 14, 2017
- License
-
070023168 (IL)
Practice Information
- Address
-
10909-11 S WESTERN AVEBEVERLY, IL, 60643Browse IL providers · Browse ZIP 60643
- Phone
- 7737797970
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.