Provider Demographics
NPI:1063825545
Name:TROCK, JOSHUA (PT,DPT,RVT,CLT,CEWS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:TROCK
Suffix:
Gender:M
Credentials:PT,DPT,RVT,CLT,CEWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18330 APACHE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-3603
Mailing Address - Country:US
Mailing Address - Phone:210-249-8420
Mailing Address - Fax:
Practice Address - Street 1:18831 MEISNER DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4240
Practice Address - Country:US
Practice Address - Phone:210-622-8000
Practice Address - Fax:210-625-5151
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1207956225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist