Provider Demographics
NPI:1558441675
Name:DAY, TRAVIS DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:DANIEL
Last Name:DAY
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 1:112 COURT STREET
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:KY
Mailing Address - Zip Code:40050-1467
Mailing Address - Country:US
Mailing Address - Phone:502-667-6527
Mailing Address - Fax:502-518-0246
Practice Address - Street 1:112 COURT ST
Practice Address - Street 2:STE A
Practice Address - City:NEW CASTLE
Practice Address - State:KY
Practice Address - Zip Code:40050
Practice Address - Country:US
Practice Address - Phone:502-667-6527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100195450Medicaid
P400039521Medicare PIN