Provider Demographics
NPI:1912704925
Name:ROST, SKYLER ANN (PT, DPT)
Entity type:Individual
Prefix:
First Name:SKYLER
Middle Name:ANN
Last Name:ROST
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6824 MEADOW ASH DR
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3506
Mailing Address - Country:US
Mailing Address - Phone:210-396-8474
Mailing Address - Fax:
Practice Address - Street 1:1022 RIVER RD STE 6
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-1945
Practice Address - Country:US
Practice Address - Phone:830-331-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1406251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist