Treja McClish
Individual provider Active NPI Athletic Trainer · Cotati, CA
NPI 1740938422 · NPPES record last updated Mar 12, 2022
Key facts
- NPI
- 1740938422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1818 La PLZ Ste 100
Cotati, CA 94931-5216 - Phone
- (707) 772-6256
- NPI assigned
- Mar 12, 2022
- 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 | CA | Yes | |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
1818 La PLZ Ste 100
Cotati, CA 94931-5216
Mailing address
1818 La PLZ Ste 100
Cotati, CA 94931-5216
Phone (707) 772-6256
Other providers in Cotati, CA
- Lifewest Northern California
- Marc Albert Lloyd
- Jenay Lowe
- Jacob Daniel Maestas
- Demetra Markis
- Debbie Marie McCulloch I
- Emily Alyse Miller
- Sarah Moore-Przyborowski
- Lisa Ann Neuson
- Norcal Ambulance, LLC
All providers in Cotati, CA · Athletic Trainer in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 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.