Travis Herald, DPT | |
109 Knotbreak Rd, Salem, VA 24153-5404 | |
(540) 772-8022 | |
Not Available |
Full Name | Travis Herald |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 109 Knotbreak Rd, Salem, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518449586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305212191 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greenbrier Valley Physical Therapy Llc | 3870499957 | 39 |
Provider Name | Lucas Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285774745 PECOS PAC ID: 8123087970 Enrollment ID: O20041007000072 |
Provider Name | Greenbrier Valley Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1407946932 PECOS PAC ID: 3870499957 Enrollment ID: O20101103000743 |
Mailing Address | Practice Location Address |
---|---|
Travis Herald, DPT 4533 Brambleton Ave, Roanoke, VA 24018-3436 Ph: (540) 772-8022 | Travis Herald, DPT 109 Knotbreak Rd, Salem, VA 24153-5404 Ph: (540) 772-8022 |
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