Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Travis Northern

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1104465145

Travis Northern is a Physical Medicine & Rehabilitation Physician in Columbia, Missouri. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

800 Hospital Dr
Columbia, MO 65201-5275
Phone: (573) 814-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1304720 (TX)

Record details

NPI number1104465145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2019
Last updated in NPPESDecember 21, 2019
Certification dateDecember 21, 2019
Mailing address2997 Oak St Apt 205, Kansas City, MO 64108-3370

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