Provider Demographics
NPI:1477074573
Name:HUGHES, TRINA PAGE (ATC,LAT)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:PAGE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:ATC,LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-7443
Mailing Address - Country:US
Mailing Address - Phone:817-571-0271
Mailing Address - Fax:
Practice Address - Street 1:500 N INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-7443
Practice Address - Country:US
Practice Address - Phone:817-571-0271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer