Healthcare Provider Details

I. General information

NPI: 1982799557
Provider Name (Legal Business Name): TRENT C MAY PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 W. UTAH AVE.
HILDALE UT
84784
US

IV. Provider business mailing address

PO BOX 69
MESQUITE NV
89024-0069
US

V. Phone/Fax

Practice location:
  • Phone: 435-429-0119
  • Fax: 435-429-0129
Mailing address:
  • Phone: 702-346-3105
  • Fax: 702-346-3544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number290765-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: