Travis John Poulson, LAT, ATC, CSCS

NPI #1609453380 in Boise, Idaho

Provider Information

NPI Number
1609453380
Entity Type
Individual
Name
Travis John Poulson, LAT, ATC, CSCS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Credential
LAT, ATC, CSCS
Enumeration Date
Mar 27, 2021
Last Updated
Mar 27, 2021

Practice Location

Address
1910 UNIVERSITY DR
City
Boise
State
Idaho
ZIP Code
83725-0002
Phone
(262) 949-4026

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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