MEDICARE: DR. TRAVIS L. CULVER DC

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	111N00000X	Chiropractor	DC-04607	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC-04607	OTHER	OH	CHIROPRACTIC LICENSE

General Provider Information

NPI Number	:	1134241516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS L. CULVER DC

Provider Business Mailing Address
First Line	:	PO BOX 700688
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78270-0688
Country	:	US
Telephone Number	:	800-404-6050
Fax Number	:	866-313-3397

Provider Business Practice Location Address
First Line	:	2824 MACK RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5130
Country	:	US
Telephone Number	:	800-404-6050
Fax Number	:	866-313-3397

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	02/25/2026

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