Travis John Poulson, LAT, ATC, CSCS - Physical Medicine & Rehabilitation in Boise, ID

Travis John Poulson, LAT, ATC, CSCS is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Boise, Idaho. Travis John Poulson is licensed to practice in Idaho (license number AT-713) and his current practice location is 1910 University Dr, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (262) 949-4026.

NPI number for Travis John Poulson is 1609453380 and his current mailing address is N300 Tower Rd, Eagle, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609453380.

Contact Information

Travis John Poulson, LAT, ATC, CSCS
1910 University Dr,
Boise, ID 83725-0002
(262) 949-4026
Not Available

Map and Direction




Physician's Profile

Full NameTravis John Poulson
GenderMale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location1910 University Dr, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609453380
  • Provider Enumeration Date: 03/27/2021
  • Last Update Date: 03/27/2021

Medical Identifiers

Medical identifiers for Travis John Poulson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609453380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine AT-713 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis John Poulson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Travis John Poulson, LAT, ATC, CSCS
N300 Tower Rd,
Eagle, WI 53119-1914

Ph: (262) 949-4026
Travis John Poulson, LAT, ATC, CSCS
1910 University Dr,
Boise, ID 83725-0002

Ph: (262) 949-4026

Reviews and Comments


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