Travis Lee Woolridge
Peer Specialist · Wagoner, OK
NPI number
1407500788
Practice location
109 S Harrill AveWagoner, OK 74467-5317
- Phone
- (573) 473-7504
NPI record
- NPI
- 1407500788
- Entity type
- Individual (Type 1)
- Enumeration date
- February 7, 2022
- Last updated
- February 7, 2022
- Certified
- January 19, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
2665 E Albany St Apt G-811Broken Arrow, OK 74014-4752
- Phone
- (573) 473-7504
About Travis Woolridge
Travis Lee Woolridge is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 109 S Harrill Ave, Wagoner, OK 74467-5317. The NPI number 1407500788 was assigned on February 7, 2022 and the record was last updated on February 7, 2022.
Frequently asked questions
What is the NPI number of Travis Lee Woolridge?
The NPI number is 1407500788.
What is the phone number of Travis Woolridge?
The phone number listed for the practice location is (573) 473-7504.
Where is Travis Woolridge located?
109 S Harrill Ave, Wagoner, OK 74467-5317.
What is the taxonomy code for Travis Woolridge?
The primary taxonomy code is 175T00000X – Peer Specialist.
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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