Doctor Name: | TODD TRUJILLO |
NPI Number: | 1679787014 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 26413 |
Business Practice Address: | 705 N Lake Blvd Box 5591 Tahoe City, CA - 961455591 |
Business Phone Number: | 7074946774 |
Business Fax Number: | |
Mailing Address: | 705 N Lake Blvd, Box 5591 TAHOE CITY |
State: | CA |
Postal Code: | 961455591 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 26413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |