Individual provider · Type 1 NPI
Edwin Jay Travis, DC CCSP CVCP ACN
Chiropractor · Bastrop, TX
NPI number
1043369945
Active
Practice location
45 Loop 150 W
Bastrop, TX 78602-3930
Fax (512) 321-9737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4037 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1043369945
Edwin Jay Travis, DC CCSP CVCP ACN's National Provider Identifier is 1043369945, issued on Jan 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bastrop, TX. The record was last updated on May 15, 2019.