Dr. Travis Diederich , DC
Chiropractor • Weston, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Travis Diederich has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Travis Diederich, DC was a registered Chiropractor practicing in Weston, WI. Throughout an active medical career spanning 16 years, Dr. Diederich provided care at the practice location at 5901 MORNING VIEW LN until profile deactivation on 2023-05-10.
Practice Location & Contact Primary Location
5901 Morning View Ln
Weston, WI 544763195
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Weston, WI
Practicing in Weston, WI (2664 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 10, 2023
NPI status registered as active in NPPES database
Registered at 5901 MORNING VIEW LN, WESTON, WI 544763195 (Tel: 7158456800)
Registered at 903 S 17TH AVE, SUITE D, WAUSAU, WI 544015700 (Tel: 7158456800)
Recorded as TRAVIS DIEDERICH, D.C.
Chiropractor (License #4097 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
903 S 17th Ave, Suite D
Wausau, WI 544015700
Phone: 7158456800
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