Healthcare Provider Details

I. General information

NPI: 1922933571
Provider Name (Legal Business Name): ZACHARY TRZINSKI
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 N WAREHOUSE ST. BAY 12
JOINT BASE ELMENDORF-RICHARDSON AK
99505
US

IV. Provider business mailing address

2805 COWLES ST APT 3
FAIRBANKS AK
99701-6780
US

V. Phone/Fax

Practice location:
  • Phone: 907-384-2730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number182875
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: