Travis Lee White, D.C.
Individual provider Active NPI Chiropractor · Mancos, CO
NPI 1285865949 · NPPES record last updated Jul 29, 2009
Key facts
- NPI
- 1285865949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6384 (CO)
- Practice address
- 164 E. Frontage St
Mancos, CO 81328 - Phone
- (970) 533-1024
- Fax
- (970) 533-1025
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6384 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essence of Healing, PC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6384 | CO | Yes |
Addresses
Primary practice location
164 E. Frontage St
Mancos, CO 81328
Mailing address
PO Box 1218
Mancos, CO 81328-1218
Phone (970) 533-1024
Other providers in Mancos, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.