Provider Demographics
NPI:1467677377
Name:SARGENT, TRAVIS NORMAN (DC,)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:NORMAN
Last Name:SARGENT
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 1:321 N PECOS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1347
Mailing Address - Country:US
Mailing Address - Phone:702-361-9841
Mailing Address - Fax:702-263-6874
Practice Address - Street 1:321 N PECOS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1347
Practice Address - Country:US
Practice Address - Phone:702-361-9841
Practice Address - Fax:702-263-6874
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor