MEDICARE: STACEY ANN TRELFORD DPT

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	20922	CO

General Provider Information

NPI Number	:	1629924733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY ANN TRELFORD DPT

Provider Business Mailing Address
First Line	:	390 S WILCOX ST STE B
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1951
Country	:	US
Telephone Number	:	303-839-8068
Fax Number	:	303-835-3597

Provider Business Practice Location Address
First Line	:	390 S WILCOX ST STE B
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1951
Country	:	US
Telephone Number	:	303-839-8068
Fax Number	:	303-835-3597

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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