Provider Demographics
NPI:1255690343
Name:GAYLER, TROY MATTHEW (OT)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:MATTHEW
Last Name:GAYLER
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3216
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-3216
Mailing Address - Country:US
Mailing Address - Phone:817-202-8540
Mailing Address - Fax:817-202-9042
Practice Address - Street 1:1007 WOODARD AVE
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7030
Practice Address - Country:US
Practice Address - Phone:817-202-8540
Practice Address - Fax:817-202-9042
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109076225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation