Provider Demographics
NPI:1598958704
Name:STIEGMAN, TRAVIS LOGAN (LPT)
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:LOGAN
Last Name:STIEGMAN
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 COMPASS COVE CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3608
Mailing Address - Country:US
Mailing Address - Phone:832-559-8226
Mailing Address - Fax:
Practice Address - Street 1:10709 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-7604
Practice Address - Country:US
Practice Address - Phone:713-464-4811
Practice Address - Fax:713-464-1364
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1121358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist