Provider Demographics
NPI:1639576812
Name:TRECO WELLNESS INC
Entity Type:Organization
Organization Name:TRECO WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRECO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-962-7360
Mailing Address - Street 1:11343 SPRING GATE TRL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-2547
Mailing Address - Country:US
Mailing Address - Phone:941-244-9028
Mailing Address - Fax:
Practice Address - Street 1:571 US HIGHWAY 41 BYP N
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-6044
Practice Address - Country:US
Practice Address - Phone:941-244-9028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFK404AMedicare Oscar/Certification