Provider Demographics
NPI:1063572618
Name:CAVERHILL, TROY C I
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:C
Last Name:CAVERHILL
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RAYMOND JOSEPH LN
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-4036
Mailing Address - Country:US
Mailing Address - Phone:207-493-1021
Mailing Address - Fax:
Practice Address - Street 1:34 NORTH ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2264
Practice Address - Country:US
Practice Address - Phone:207-764-0400
Practice Address - Fax:207-764-0499
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist