Provider Demographics
NPI:1437766540
Name:MCCLAIN, TRINITY LATRICE (LAT, ATC)
Entity Type:Individual
Prefix:MISS
First Name:TRINITY
Middle Name:LATRICE
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 HEARST ST APT 310
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1104
Mailing Address - Country:US
Mailing Address - Phone:601-325-1809
Mailing Address - Fax:
Practice Address - Street 1:3059 HIGGINS BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-5422
Practice Address - Country:US
Practice Address - Phone:504-308-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3287952255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer