Travis Matthew Tidwell, PT
NPI #1588919856 in Fairfax Station, Virginia
Provider Information
- NPI Number
- 1588919856
- Entity Type
- Individual
- Name
- Travis Matthew Tidwell, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jul 23, 2012
- Last Updated
- Jan 21, 2026
Practice Location
- Address
- 5618H OX RD
- City
- Fairfax Station
- State
- Virginia
- ZIP Code
- 22039-1018
- Phone
- (703) 426-4949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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