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

Travis Petersen, BOCP, COA

Individual provider Prosthetist · NPI 1164963278

Travis Petersen, BOCP, COA is a Prosthetist in Greenville, North Carolina. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

835 Johns Hopkins Dr Ste B
Greenville, NC 27834-7268
Phone: (252) 752-7422
Fax: (252) 752-5424
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence C52140

Record details

NPI number1164963278
Entity typeIndividual (Type 1)
GenderMale
Credentials BOCP , COA
Sole proprietorNo
NPI enumeratedMarch 9, 2017
Last updated in NPPESMarch 9, 2017
Mailing address835 Johns Hopkins Dr, Suite B, Greenville, NC 27834-7268

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