NPI 1104465145

Travis Northern

Practitioner Physical Medicine & Rehabilitation Physician Columbia, MO

Practice location

Address: 800 Hospital Dr, Columbia, MO 65201-5275
Phone: (573) 814-6000
Mailing address: 2997 Oak St APT 205, Kansas City, MO 64108-3370

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 1304720 (TX)

Other Physical Medicine & Rehabilitation providers in Missouri →

Registry record

NPI: 1104465145
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2019
Record last updated: 21 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.