Travis R Hill, PT

Individual provider Active NPI Physical Therapist · Salem, WI

NPI 1922020486 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1922020486
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5748-024 (WI)
Practice address
24726 75TH St
Salem, WI 53168-9704
Phone
(262) 843-8333
Fax
(262) 843-2948
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5748-024WIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5748-024 WI Yes

Addresses

Primary practice location

24726 75TH St
Salem, WI 53168-9704

Mailing address

PO Box 081433
Racine, WI 53408-1433
Phone (262) 321-0240

Other identifiers

IdentifierTypeStateIssuer
40436200MedicaidWI

Other providers in Salem, WI

All providers in Salem, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.