Provider Demographics
NPI:1255610978
Name:TREXLER, ADAM (DPT)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:TREXLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:GALLITZIN
Mailing Address - State:PA
Mailing Address - Zip Code:16641-1603
Mailing Address - Country:US
Mailing Address - Phone:814-289-7112
Mailing Address - Fax:
Practice Address - Street 1:801 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:GALLITZIN
Practice Address - State:PA
Practice Address - Zip Code:16641-1603
Practice Address - Country:US
Practice Address - Phone:814-289-7112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist