MEDICARE: TRAVIS MYERS D.C.

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	5064	MN

General Provider Information

NPI Number	:	1912182544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS MYERS D.C.

Provider Business Mailing Address
First Line	:	5300 S ROBERT TRL
Second Line	:	SUITE 700
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-1444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 S ROBERT TRL
Second Line	:	SUITE 700
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-1444
Country	:	US
Telephone Number	:	651-457-2121
Fax Number	:

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

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	01/02/2008

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Directions to “ TRAVIS MYERS D.C.” Practice Location

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