Provider Demographics
NPI:1548451354
Name:CONLEY, TRAVIS MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:MICHAEL
Last Name:CONLEY
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 1:2152 DUPONT DR STE 101
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1315
Mailing Address - Country:US
Mailing Address - Phone:949-228-5820
Mailing Address - Fax:
Practice Address - Street 1:2152 DUPONT DR STE 101
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1315
Practice Address - Country:US
Practice Address - Phone:949-228-5820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29811111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician