Healthcare Provider Details

I. General information

NPI: 1164631693
Provider Name (Legal Business Name): TREVELYNN HENUSET LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 SEVEN HILLS DR #102
HENDERSON NV
89052-4374
US

IV. Provider business mailing address

866 SEVEN HILLS DR #102
HENDERSON NV
89052-4374
US

V. Phone/Fax

Practice location:
  • Phone: 702-966-5920
  • Fax: 702-307-9193
Mailing address:
  • Phone: 702-966-5920
  • Fax: 702-307-9193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB00970
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberB00970
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC27607
License Number StateCA

VIII. Authorized Official

Name: DR. TREVELYNN DEAN HENUSET
Title or Position: PRESIDENT
Credential: DC
Phone: 702-966-5920