NPI 1336382209

Scott Trevino, PTA

Practitioner Physical Therapy Assistant Goshen, IN

Practice location

Address: 1332 Waterford Xing Cir, Goshen, IN 46526-6009
Phone: (574) 534-3920
Fax: (574) 533-1968
Mailing address: 1650 Lyndon Farm CT Suitem201, Louisville, KY 40223-5002

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06003409A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1336382209
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2009
Record last updated: 20 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.