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TRAVIS JOHN POULSON LAT, ATC, CSCS
NPI 1609453380
Physical Medicine & Rehabilitation - Sports Medicine in Boise, ID

Active since March 27, 2021
1910 UNIVERSITY DR, BOISE, ID 83725(262) 949-4026 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Travis John Poulson Lat, Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS JOHN POULSON LAT, ATC, CSCS (NPI 1609453380) is an individual sports medicine provider in Boise, Idaho, licensed in Idaho (AT-713) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1609453380
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameTRAVIS JOHN POULSONCredential: LAT, ATC, CSCS
Location Address1910 UNIVERSITY DRBoise, ID 83725-0002
Mailing AddressN300 Tower RdEagle, WI 53119-1914 · (262) 949-4026
Phone(262) 949-4026
Sole ProprietorNo
Enumeration DateMarch 27, 2021
NPPES CertifiedMarch 27, 2021
✔ NPI 1609453380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in ID · AT-713
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1910 UNIVERSITY DR, Boise, ID 83725
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MEGAN MARIE MCGUFFEY R.D.
Dietitian, Registered
1910 UNIVERSITY DR
BOISE, ID 83725
Ada County (208) 426-1459
SETH REDE LAT, ATC
Specialist/Technologist (Athletic Trainer)
1910 UNIVERSITY DR
BOISE, ID 83725
Ada County (208) 426-1696
MARC PAUL MS, LAT/ATC
Specialist/Technologist (Athletic Trainer)
1910 UNIVERSITY DR
BOISE, ID 83725
Ada County (208) 426-1696
JAYNE NELSON PA-C
Physician Assistant (Medical)
1910 UNIVERSITY DR, MS-1351
BOISE, ID 83725
Ada County (208) 426-1459
SARAH O'BRIEN LCSW
Social Worker (Clinical)
1910 UNIVERSITY DR
BOISE, ID 83725
Ada County (208) 426-1459
MRS. KATRIN POTTICARY LMSW
Social Worker
1910 UNIVERSITY DR
BOISE, ID 83725
Ada County (208) 426-1459
MR. TYLER K MURRAY
Student in an Organized Health Care Education/Training Program
1910 UNIVERSITY DR
BOISE, ID 83725
Ada County (208) 871-1082
SHAYNA SARISKY MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1910 UNIVERSITY DR
BOISE, ID 83725
Ada County (986) 290-0817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Poulson's NPI number?

The NPI number for Travis Poulson is 1609453380. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Travis Poulson located?

Travis Poulson practices at 1910 University Dr, Boise, ID 83725. The listed phone number is (262) 949-4026.

What is Travis Poulson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Travis Poulson was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.