Healthcare Provider Details

I. General information

NPI: 1891628897
Provider Name (Legal Business Name): TRAVIS DAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 LARKSPUR LN STE 100B
REDDING CA
96002-0629
US

IV. Provider business mailing address

20733 EDGEWATER ST
COTTONWOOD CA
96022-9422
US

V. Phone/Fax

Practice location:
  • Phone: 530-338-0087
  • Fax:
Mailing address:
  • Phone: 360-513-1046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: