Provider Demographics
NPI:1275765463
Name:MOHR, TRAVIS ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:ROBERT
Last Name:MOHR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17429 BRIDGE HILL CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3467
Mailing Address - Country:US
Mailing Address - Phone:813-983-7921
Mailing Address - Fax:813-333-2788
Practice Address - Street 1:17429 BRIDGE HILL CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3467
Practice Address - Country:US
Practice Address - Phone:813-990-9285
Practice Address - Fax:813-319-3486
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9784111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001894300Medicaid
FL001894300Medicaid