SearchIllinois225200000X

Travis King, PTA, LMT

NPI 1023837085 · on the registry since 2024 · sole proprietor

Practice

Address
784 Wall St Ste 100p
O Fallon, IL 62269
Phone
(618) 550-9570
Organisation at this address
Monarch Behavioral Care, Llc
Phoenix Home Care Illinois, Llc
Finding The Forest Counseling Llc
Next Step Foot & Ankle Centers, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225700000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois