Healthcare Provider Details

I. General information

NPI: 1871428102
Provider Name (Legal Business Name): TREVOR W WOODHOUSE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2072 IDAHO ST
ELKO NV
89801-2627
US

IV. Provider business mailing address

248 COUNTRY CLUB PKWY
SPRING CREEK NV
89815-5830
US

V. Phone/Fax

Practice location:
  • Phone: 775-777-1276
  • Fax:
Mailing address:
  • Phone: 775-777-1276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7010
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: