Provider Demographics
NPI:1932206281
Name:JONES, TROY ALAN (MPT)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:ALAN
Last Name:JONES
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67-1185 MAMALAHOA HWY
Mailing Address - Street 2:#D104 PMB 366
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743
Mailing Address - Country:US
Mailing Address - Phone:808-557-7627
Mailing Address - Fax:
Practice Address - Street 1:66-1667 WAIAKA PL
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8306
Practice Address - Country:US
Practice Address - Phone:808-557-7627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2018-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23204225100000X
CO8644225100000X
HI2141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist