Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS JOHN POULSON, LAT, ATC, CSCS
ActiveTRAVIS JOHN POULSON, LAT, ATC, CSCS is a Sports Medicine (PM&R) healthcare provider located in BOISE, Idaho. NPI 1609453380 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BOISE, ID
Registration Details
- NPI Number
- 1609453380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2021 (5.4246671883268 yrs)
- Last Updated
- Mar 27, 2021
- License
-
AT-713 (ID)
Practice Information
- Address
-
1910 UNIVERSITY DRBOISE, ID, 837250002Browse ID providers · Browse ZIP 83725
- Phone
- 2629494026
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ROBIN JACKSON DELEON | MD | 1992807085 |
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.