Travis Blackburn

NPI 1396282026 · on the registry since 2017

Practice

Address: 3125 Independence Dr Ste 210
Homewood, AL 35209
Phone: (205) 930-0920
Fax: (205) 445-0115
Organisation at this address: Fl Performance,Llc
Skin Diagnostics Group, Pc
Three Sons Management, Inc.
Opal Integrative Wellness, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-12

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 Alabama