Provider Demographics
NPI:1891412383
Name:TREHAL, JACHI K (HAD)
Entity Type:Individual
Prefix:MRS
First Name:JACHI
Middle Name:K
Last Name:TREHAL
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13104 RIVERVIEW CT
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-8518
Mailing Address - Country:US
Mailing Address - Phone:308-737-0803
Mailing Address - Fax:
Practice Address - Street 1:13104 RIVERVIEW CT
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-8518
Practice Address - Country:US
Practice Address - Phone:308-737-0803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1037-H237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty