Provider Demographics
NPI:1871771287
Name:TROMBLEY, ANN T (MSPT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:T
Last Name:TROMBLEY
Suffix:
Gender:F
Credentials:MSPT
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 1242
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:CO
Mailing Address - Zip Code:80540-1242
Mailing Address - Country:US
Mailing Address - Phone:303-278-0291
Mailing Address - Fax:866-757-5778
Practice Address - Street 1:414 STICKNEY AVENUE
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:CO
Practice Address - Zip Code:80540
Practice Address - Country:US
Practice Address - Phone:303-278-0291
Practice Address - Fax:866-757-5778
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0004802225100000X
CO4802225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist