Individual provider · Type 1 NPI

Travis Charles Headley, PA

Physician Assistant · Coeur D Alene, ID

NPI number 1659484483 Active

Practice location

850 W Ironwood Dr Ste 202
Coeur D Alene, ID 83814-4903

Call (208) 664-2175 Map

Fax (208) 664-1226

Mailing address

850 W Ironwood Dr, Suite 202
Coeur D Alene, ID 83814-4903

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA406 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659484483

Travis Charles Headley, PA's National Provider Identifier is 1659484483, issued on Aug 16, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Mar 11, 2025.