Provider Demographics
NPI:1194410969
Name:KEMPER, TRAVIS L (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:L
Last Name:KEMPER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 CRAWFORD WAY
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-8620
Mailing Address - Country:US
Mailing Address - Phone:717-495-7975
Mailing Address - Fax:
Practice Address - Street 1:100 MIDLAND AVE UNIT 250
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-9808
Practice Address - Country:US
Practice Address - Phone:970-945-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0017153225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist