Provider Demographics
NPI:1710461256
Name:MORRISON, TRAVIS W (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:W
Last Name:MORRISON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 AMBLESIDE LN
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3041
Mailing Address - Country:US
Mailing Address - Phone:214-534-4551
Mailing Address - Fax:
Practice Address - Street 1:1201 W MCDERMOTT DR STE 108
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6393
Practice Address - Country:US
Practice Address - Phone:469-656-1343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1308559225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1308559OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS