MEDICARE: TRAVIS L SAUTTER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO00000800	WA

General Provider Information

NPI Number	:	1124045877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS L SAUTTER DPM

Provider Business Mailing Address
First Line	:	550 E 1400 N STE B
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341-2450
Country	:	US
Telephone Number	:	435-752-9011
Fax Number	:	435-752-7159

Provider Business Practice Location Address
First Line	:	550 E 1400 N
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341-2406
Country	:	US
Telephone Number	:	435-752-9011
Fax Number	:	435-752-7159

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/19/2026

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Directions to “ TRAVIS L SAUTTER DPM” Practice Location

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