Healthcare Provider Details

I. General information

NPI: 1881525368
Provider Name (Legal Business Name): TREVOR BRYCE FREHNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 W FITNESS WAY
IVINS UT
84738-6742
US

IV. Provider business mailing address

167 JACARANDA WAY
MESQUITE NV
89027-6324
US

V. Phone/Fax

Practice location:
  • Phone: 888-673-6600
  • Fax: 435-673-6768
Mailing address:
  • Phone: 702-830-6712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number8565158-4701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: