Individual provider · Type 1 NPI

Travis Northern

Physical Medicine & Rehabilitation Physician · St. Joseph, MO

NPI number 1104465145 Active

Practice location

4782 Sienna Dr
St. Joseph, MO 64506-4862

Mailing address

7 SE Eagle Ridge Dr
St. Joseph, MO 64507-8123

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician Primary 208100000X2025013705 (MO)

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

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About NPI 1104465145

Travis Northern's National Provider Identifier is 1104465145, issued on Dec 21, 2019. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in St. Joseph, MO. The record was last updated on Oct 16, 2026.