Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trevor Douglas

Individual provider Physical Therapy Assistant · NPI 1407436637

Trevor Douglas is a Physical Therapy Assistant in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

9846 Hwy 31 E
Tyler, TX 75705-2329
Phone: (903) 525-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2153119 (TX)

Record details

NPI number1407436637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address9846 Hwy 31 E, Tyler, TX 75705-2329

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