Provider Demographics
NPI:1457655409
Name:WIMBS, TRISHA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:MARIE
Last Name:WIMBS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 SUNRISE AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4500
Mailing Address - Country:US
Mailing Address - Phone:916-786-6055
Mailing Address - Fax:916-786-6452
Practice Address - Street 1:755 SUNRISE AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4500
Practice Address - Country:US
Practice Address - Phone:916-786-6055
Practice Address - Fax:916-786-6452
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor