Provider Demographics
NPI:1104451624
Name:LOYD, TREVOR JAMES (MS, LAT, ATC, CES)
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:JAMES
Last Name:LOYD
Suffix:
Gender:M
Credentials:MS, LAT, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4929 HAMILTON DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-3211
Mailing Address - Country:US
Mailing Address - Phone:717-421-1727
Mailing Address - Fax:
Practice Address - Street 1:560 FISHING CREEK RD
Practice Address - Street 2:
Practice Address - City:LEWISBERRY
Practice Address - State:PA
Practice Address - Zip Code:17339-9510
Practice Address - Country:US
Practice Address - Phone:717-938-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0070102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer