Healthcare Provider Details

I. General information

NPI: 1225450596
Provider Name (Legal Business Name): TRYGGYR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2014
Last Update Date: 12/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 E STATE ST SUITE H
ATHENS OH
45701-2151
US

IV. Provider business mailing address

1005 E STATE ST SUITE H
ATHENS OH
45701-2151
US

V. Phone/Fax

Practice location:
  • Phone: 740-589-5809
  • Fax: 740-249-1092
Mailing address:
  • Phone: 740-589-5809
  • Fax: 740-249-1092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number007750
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number00271
License Number StateOH

VIII. Authorized Official

Name: JOSEPH HOSMER-RODRIGUES
Title or Position: SOFT-TISSUE SPECIALIST / OWNER
Credential: LMT
Phone: 740-589-5809