Provider Demographics
NPI:1730554221
Name:HORNE, TRAVIS (DC)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:
Last Name:HORNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20120 ROUTE 19
Mailing Address - Street 2:STE 202
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6210
Mailing Address - Country:US
Mailing Address - Phone:814-241-8851
Mailing Address - Fax:724-553-5861
Practice Address - Street 1:20120 ROUTE 19
Practice Address - Street 2:STE 202
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6210
Practice Address - Country:US
Practice Address - Phone:814-241-8851
Practice Address - Fax:724-553-5861
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor