MEDICARE: ROBERT TROUT PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1659	CO

General Provider Information

NPI Number	:	1295759736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT TROUT PT

Provider Business Mailing Address
First Line	:	2964 GINNALA DR
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2701
Country	:	US
Telephone Number	:	970-667-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3938 JFK PKWY
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3086
Country	:	US
Telephone Number	:	970-667-7755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	05/07/2008

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Directions to “ ROBERT TROUT PT” Practice Location

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