Provider Demographics
NPI:1306373212
Name:MORRISON, TRAVIS W (DC)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:W
Last Name:MORRISON
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 1:1015 JAY DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-4560
Mailing Address - Country:US
Mailing Address - Phone:812-480-3390
Mailing Address - Fax:
Practice Address - Street 1:1651 E 29TH ST
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47302-5886
Practice Address - Country:US
Practice Address - Phone:765-286-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4719111N00000X
IN08003095A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor