Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TREVOR GLENN ADDISON, ATC
Active Sole ProprietorTREVOR GLENN ADDISON, ATC is a Sports Medicine (EM) healthcare provider located in FREMONT, California. NPI 1295264653 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · FREMONT, CA
Registration Details
- NPI Number
- 1295264653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2017 (9.141970245308 yrs)
- Last Updated
- Jul 21, 2022
- License
-
2000026911 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1620 PAJARO CT.FREMONT, CA, 94539Browse CA providers · Browse ZIP 94539
- Phone
- 5106732085
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.