Terianna Wood
Individual provider Active NPI Athletic Trainer · Trufant, MI
NPI 1679090740 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679090740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1251 N Amble Rd
Trufant, MI 49347-9711 - Phone
- (616) 548-1382
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1251 N Amble Rd
Trufant, MI 49347-9711
Mailing address
1251 N Amble Rd
Trufant, MI 49347-9711
Phone (616) 548-1382
Other providers in Trufant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.