Healthcare Provider Details

I. General information

NPI: 1972442085
Provider Name (Legal Business Name): KASEY TREBILCOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 KATALIN CT
BAY CITY MI
48706-2160
US

IV. Provider business mailing address

4512 N SAGINAW RD APT 1405
MIDLAND MI
48640-2039
US

V. Phone/Fax

Practice location:
  • Phone: 989-324-2012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: