SearchVirginia225100000X

Travis Tidwell, PT

NPI 1588919856 · on the registry since 2012

Practice

Address
5618h Ox Rd
Fairfax Station, VA 22039
Phone
(703) 426-4949
Clinicians at this address
3

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-25

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 Virginia