Healthcare Provider Details

I. General information

NPI: 1841591310
Provider Name (Legal Business Name): TRAVIS CRAIG ROMNEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2010
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 11TH AVE S STE 105
NAMPA ID
83651-3945
US

IV. Provider business mailing address

101 11TH AVE S STE 105
NAMPA ID
83651-3945
US

V. Phone/Fax

Practice location:
  • Phone: 208-690-4610
  • Fax: 208-962-1004
Mailing address:
  • Phone: 208-690-4610
  • Fax: 208-962-1004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9571087
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: