Provider Demographics
NPI:1477718344
Name:ZIEGLER, TREVIN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:TREVIN
Middle Name:JAMES
Last Name:ZIEGLER
Suffix:
Gender:M
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:PO BOX 6008
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507
Mailing Address - Country:US
Mailing Address - Phone:360-754-3440
Mailing Address - Fax:360-754-1769
Practice Address - Street 1:1015 4TH AVE W
Practice Address - Street 2:STE AB
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-5467
Practice Address - Country:US
Practice Address - Phone:360-754-3440
Practice Address - Fax:360-754-1769
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60011808111N00000X
WACH60011808111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111N00000XChiropractic ProvidersChiropractor