Provider Demographics
NPI:1801374962
Name:HESS, TREVOR JAMES (MA, ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:TREVOR
Middle Name:JAMES
Last Name:HESS
Suffix:
Gender:M
Credentials:MA, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 HIGHWAY 544
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-8462
Mailing Address - Country:US
Mailing Address - Phone:480-406-1976
Mailing Address - Fax:
Practice Address - Street 1:905 ONE LANDON LOOP
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526
Practice Address - Country:US
Practice Address - Phone:843-349-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty