Healthcare Provider Details

I. General information

NPI: 1306148853
Provider Name (Legal Business Name): MICHELLE A. TRUMPS DC, OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 N ARNOULT RD SUITE 220
METAIRIE LA
70002-5949
US

IV. Provider business mailing address

2626 N ARNOULT RD SUITE 220
METAIRIE LA
70002-5949
US

V. Phone/Fax

Practice location:
  • Phone: 504-915-9155
  • Fax: 504-324-0384
Mailing address:
  • Phone: 504-915-9155
  • Fax: 504-324-0384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1269
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberZ10347
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: