Individual
MS. MOLLY ANN TREVATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
701 FLORENCE BLVD, OMAHA, NE 68102
(402) 280-5563
Mailing address
423 N 40TH ST APT 11, OMAHA, NE 68131-2365
(314) 221-5903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
815
NE
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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