Provider Demographics
NPI:1376996728
Name:TROMPETER, JOSCELYN
Entity Type:Individual
Prefix:
First Name:JOSCELYN
Middle Name:
Last Name:TROMPETER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 HOLLEMAN DR
Mailing Address - Street 2:APT 8103
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840
Mailing Address - Country:US
Mailing Address - Phone:214-717-2777
Mailing Address - Fax:
Practice Address - Street 1:24164 BELLEAU AVE
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22134-5106
Practice Address - Country:US
Practice Address - Phone:703-784-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer