MEDICARE: DR. TRAVIS HUNT STONER PT, DPT, COMT

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	225100000X	Physical Therapist	2305204490	VA

General Provider Information

NPI Number	:	1508010380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS HUNT STONER PT, DPT, COMT

Provider Business Mailing Address
First Line	:	4701 SPOTSYLVANIA PKWY STE 106
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-9435
Country	:	US
Telephone Number	:	540-710-0100
Fax Number	:	540-710-5333

Provider Business Practice Location Address
First Line	:	4701 SPOTSYLVANIA PKWY STE 106
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-9435
Country	:	US
Telephone Number	:	540-710-0100
Fax Number	:	540-710-5333

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

Provider Enumeration Date	:	11/06/2008
Last Update Date	:	02/27/2019

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