Provider Demographics
NPI:1306189444
Name:TURNER, TRAVIS JOSEPH (MS, ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:JOSEPH
Last Name:TURNER
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TWO RELIANT PARK
Mailing Address - Street 2:HOUSTON TEXANS
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:830-534-0976
Mailing Address - Fax:
Practice Address - Street 1:TWO RELIANT PARK
Practice Address - Street 2:HOUSTON TEXANS
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:830-534-0976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT48002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer