Andrea R. Trujillo, D.P.T.
Individual provider Active NPI Physical Therapist · Williams, AZ
NPI 1821286618 · NPPES record last updated Oct 5, 2007
Key facts
- NPI
- 1821286618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7719 (AZ)
- Practice address
- 301 S 7TH St
Williams, AZ 86046-2324 - Phone
- (928) 635-4441
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7719 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
| NM Santa Fe PT Investment LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7719 | AZ | Yes |
Addresses
Primary practice location
301 S 7TH St
Williams, AZ 86046-2324
Mailing address
301 S 7TH St
Williams, AZ 86046-2324
Other providers in Williams, AZ
- Terri Diane Sherman
- Connie Stevens
- Sarah Anne Stoit
- Jody Tatro
- Melissa Tohlakai
- Cesareo G Vasquez
- Kristine Kay Vasquez
- Matt P Vestal
- Williams Health Care Center
- Williams Unified School District #2
All providers in Williams, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.