Provider Demographics
NPI:1982799557
Name:MAY, TRENT C (PT)
Entity Type:Individual
Prefix:
First Name:TRENT
Middle Name:C
Last Name:MAY
Suffix:
Gender:M
Credentials:PT
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 69
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89024-0069
Mailing Address - Country:US
Mailing Address - Phone:702-346-3105
Mailing Address - Fax:702-346-3544
Practice Address - Street 1:1040 W. UTAH AVE.
Practice Address - Street 2:
Practice Address - City:HILDALE
Practice Address - State:UT
Practice Address - Zip Code:84784
Practice Address - Country:US
Practice Address - Phone:435-429-0119
Practice Address - Fax:435-429-0129
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT290765-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0213682OtherL&I
WA0213682OtherL&I