Provider Demographics
NPI:1134431679
Name:TRENARY, PATRICK ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ROBERT
Last Name:TRENARY
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 1:122 N FEDERAL AVE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3227
Mailing Address - Country:US
Mailing Address - Phone:641-201-1975
Mailing Address - Fax:
Practice Address - Street 1:122 N FEDERAL AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3227
Practice Address - Country:US
Practice Address - Phone:641-201-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007336111N00000X
KY5264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor