Provider Demographics
NPI:1841803913
Name:HYATT, TRENT PHILIP (DPT)
Entity Type:Individual
Prefix:
First Name:TRENT
Middle Name:PHILIP
Last Name:HYATT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:TRENT
Other - Middle Name:PHILIP
Other - Last Name:HYATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:7300 ELDORADO PKWY STE 165
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7894
Mailing Address - Country:US
Mailing Address - Phone:972-727-9995
Mailing Address - Fax:972-727-8350
Practice Address - Street 1:7300 ELDORADO PKWY STE 165
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7894
Practice Address - Country:US
Practice Address - Phone:972-727-9995
Practice Address - Fax:972-727-8350
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1334822225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist