Travis Raulerson, MA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61251 Issued in FL

Practice address

10870 US Highway 1 N Unit 105
Ponte Vedra, FL 32081-7804

Phone

(904) 686-6060

Fax

(904) 686-8080

NPI assigned

Oct 17, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1760203210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 US HIGHWAY 1 N UNIT 105",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320817804",
            "telephone_number": "904-686-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 US HIGHWAY 1 N UNIT 105",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817804",
            "telephone_number": "904-686-6060",
            "fax_number": "904-686-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULERSON",
        "first_name": "TRAVIS",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Rae, APRN
• Hiro M Rahbar, MD
• Omama Ashraf Rahmany, DO
• Nasrin Datar Raina, M.D.
• Christina Marie Ralko, CPNP-PC
• Alice Whitson Regan, RPH
• Kathryn Pray Reneau, LCSW
• Brandi Renfro, DPT
• Sabrina Rensink
• Revision Health Services, PLLC

• Massage Therapist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.