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NPI Code Detail

MEDICARE: THERESA ANNE-MARIE TRAHAN

MEDICARE:   THERESA ANNE-MARIE TRAHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386502052
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA ANNE-MARIE TRAHAN
Provider Business Mailing Address
First Line : 3352 SUSSEX DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3352 SUSSEX DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8618
Country : US
Telephone Number : 360-319-7735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ THERESA ANNE-MARIE TRAHAN ” Practice Location

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