Individual provider · Type 1 NPI

Travis Wayne King, PTA, LMT

Physical Therapy Assistant · O Fallon, IL

NPI number 1023837085 Active

Practice location

784 Wall St Ste 100P
O Fallon, IL 62269-2088

Call (618) 550-9570 Map

Mailing address

415 S 5th St
Caseyville, IL 62232-1456

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X227016850 (IL)
Physical Therapy Assistant Primary 225200000X160009325 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023837085

Travis Wayne King, PTA, LMT's National Provider Identifier is 1023837085, issued on Oct 7, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in O Fallon, IL. The record was last updated on Oct 7, 2024.