Provider Demographics
NPI:1669595468
Name:FURRY, JAMES TRAVIS (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TRAVIS
Last Name:FURRY
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E WILCOX DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2526
Mailing Address - Country:US
Mailing Address - Phone:520-458-1551
Mailing Address - Fax:520-458-1896
Practice Address - Street 1:200 E WILCOX DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2526
Practice Address - Country:US
Practice Address - Phone:520-458-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U72757Medicare UPIN