Max Travis Mahaffey, ATC, LAT
Preventive Medicine, Sports Medicine in Alexandria, LA. Individual provider (NPI-1).
NPI number1154546802
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154546802
- Entity type
- Individual (NPI-1)
- Name
- Max Travis Mahaffey
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083S0010X | Preventive Medicine, Sports Medicine | ATH.200021 | LA | Yes |
Practice location
3347 Masonic DrAlexandria, LA 71301-3842
Phone 318-448-4959
Mailing address
1410 College StPineville, LA 71360-5215
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