DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TREVIS LEE TREVINO

Active Sole Proprietor

MR. TREVIS LEE TREVINO is a Sports Medicine (PM&R) healthcare provider located in WYOMING, Michigan. NPI 1285001842 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · WYOMING, MI

Registration Details

NPI Number
1285001842
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2015 (11.000270558645 yrs)
Last Updated
Aug 13, 2022
Licenses
3019283855 (MI)
1849503021 (CA)
TT37598187 (CA)
TT37598187 (CA)
T615802497876 (MI)
Sole Proprietor
Yes

Practice Information

Address
1851 44TH ST SW STE A
WYOMING, MI, 495196440
Browse MI providers · Browse ZIP 49519
Phone
6165384400
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Additional Specialty
Nutritionist
Additional Specialty
Sports Medicine (PM&R)
Additional Specialty
2083S0010X
Additional Specialty
2083S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.