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

Individual provider Massage Therapist · NPI 1023837085

Travis Wayne King, PTA, LMT is a Massage Therapist in O Fallon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

784 Wall St Ste 100P
O Fallon, IL 62269-2088
Phone: (618) 550-9570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160009325 (IL)
Massage Therapist Taxonomy 225700000X · Licence 227016850 (IL)

Record details

NPI number1023837085
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , LMT
Sole proprietorYes
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address415 S 5th St, Caseyville, IL 62232-1456

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