National Provider Identifier
Trevor Glenn Gleason, PTA
Trevor Glenn Gleason, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Clymer, NY and a listed phone number of (716) 499-9925.
Profile Overview
- NPI
- 1992157473
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- July 07, 2016
- Last Updated
- July 07, 2016
Practice Location
- 2291 Marks RD
- Clymer, NY 14724-9742
Phone: (716) 499-9925
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1992157473
- Entity Type
- Individual
- Last Name
- Gleason
- First Name
- Trevor
- Middle Name
- Glenn
- Name Prefix
- Mr.
- Credential
- PTA
- Mailing Street Address
- 2291 Marks RD
- Mailing City
- Clymer
- Mailing State
- NY
- Mailing ZIP Code
- 14724-9742
- Mailing Country
- US
- Mailing Phone
- (716) 499-9925
- Practice Street Address
- 2291 Marks RD
- Practice City
- Clymer
- Practice State
- NY
- Practice ZIP Code
- 14724-9742
- Practice Country
- US
- Practice Phone
- (716) 499-9925
- Enumeration Date
- July 07, 2016
- Last Updated
- July 07, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)