Travis Wayne King, PTA, LMT

Physical Therapy Assistant · O Fallon, IL

Individual Active NPI

NPI number 1023837085

Practice location

784 Wall St Ste 100p
O Fallon, IL 62269-2088
Phone
(618) 550-9570

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NPI record

NPI
1023837085
Entity type
Individual (Type 1)
Enumeration date
October 7, 2024
Last updated
October 7, 2024
Certified
October 7, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160009325 IL
Massage Therapist 225700000X 227016850 IL

Mailing address

415 S 5TH St
Caseyville, IL 62232-1456
Phone
(618) 550-9570

About Travis King

Travis Wayne King, PTA, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 784 Wall St Ste 100p, O Fallon, IL 62269-2088. The NPI number 1023837085 was assigned on October 7, 2024 and the record was last updated on October 7, 2024.

Travis King lists 2 licenses in the registry: #160009325 (IL) for Physical Therapy Assistant; #227016850 (IL) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Travis Wayne King, PTA, LMT?

The NPI number is 1023837085.

What is the phone number of Travis King?

The phone number listed for the practice location is (618) 550-9570.

Where is Travis King located?

784 Wall St Ste 100p, O Fallon, IL 62269-2088.

What is the taxonomy code for Travis King?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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