Provider Demographics
NPI:1508010380
Name:STONER, TRAVIS HUNT (PT, DPT, COMT)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:HUNT
Last Name:STONER
Suffix:
Gender:M
Credentials:PT, DPT, COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 SPOTSYLVANIA PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-9435
Mailing Address - Country:US
Mailing Address - Phone:540-710-0100
Mailing Address - Fax:540-710-5333
Practice Address - Street 1:4701 SPOTSYLVANIA PKWY STE 106
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-9435
Practice Address - Country:US
Practice Address - Phone:540-710-0100
Practice Address - Fax:540-710-5333
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist