Individual provider · Type 1 NPI

Travis Wayne Sullivan, DC

Chiropractor · Prosper, TX

NPI number 1912138348 Active

Practice location

101 E Broadway St
Prosper, TX 75078-2934

Fax (682) 292-2997

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X01-05275 (KS)
Chiropractor Primary 111N00000X14409 (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.

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About NPI 1912138348

Travis Wayne Sullivan, DC's National Provider Identifier is 1912138348, issued on Aug 3, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Prosper, TX. The record was last updated on Feb 3, 2023.