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

Individual provider Occupational Therapist · NPI 1417282872

Travis Vandorn is an Occupational Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181
Phone: (314) 652-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 004808 (MO)
Occupational Therapist Taxonomy 225X00000X · Licence 056.004069 (IL)

Record details

NPI number1417282872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2009
Last updated in NPPESOctober 2, 2009

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