Provider Demographics
NPI:1538846068
Name:CONROY, TREY PATRICK-SKYLAR (PT, DPT)
Entity type:Individual
Prefix:
First Name:TREY
Middle Name:PATRICK-SKYLAR
Last Name:CONROY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16312 E 104TH WAY
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-0608
Mailing Address - Country:US
Mailing Address - Phone:908-442-4237
Mailing Address - Fax:
Practice Address - Street 1:16312 E 104TH WAY
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-0608
Practice Address - Country:US
Practice Address - Phone:908-442-4237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMSPTL.0000016225100000X
TX1365711225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist