Healthcare Provider Details

I. General information

NPI: 1295866200
Provider Name (Legal Business Name): TROXELL PHYSICAL THERAPY AND WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 05/22/2024
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 W CLEVELAND AVE
MADERA CA
93637-8767
US

IV. Provider business mailing address

2351 W CLEVELAND AVE STE 101
MADERA CA
93637-8767
US

V. Phone/Fax

Practice location:
  • Phone: 559-661-1611
  • Fax: 559-661-1611
Mailing address:
  • Phone: 559-661-1611
  • Fax: 559-661-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number225200000X
License Number StateCA

VIII. Authorized Official

Name: HENRY WAYNE TROXELL
Title or Position: CO-OWNER/ PRESIDENT
Credential: DPT, OCS.
Phone: 559-661-1611