Provider Demographics
NPI:1184361396
Name:IRION, TREVOR (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:
Last Name:IRION
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 E CENTURY AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1118
Mailing Address - Country:US
Mailing Address - Phone:480-371-6294
Mailing Address - Fax:
Practice Address - Street 1:626 E CENTURY AVE
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-1118
Practice Address - Country:US
Practice Address - Phone:480-371-6294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist