Healthcare Provider Details

I. General information

NPI: 1386023042
Provider Name (Legal Business Name): WENDY TRINH ATC, LAT, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 05/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PRIDE PL
FOLEY AL
36535-1100
US

IV. Provider business mailing address

2175 SCHILLINGER RD S APT 1014
MOBILE AL
36695-6017
US

V. Phone/Fax

Practice location:
  • Phone: 251-943-2221
  • Fax:
Mailing address:
  • Phone: 770-654-6106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1566
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: