Provider Demographics
NPI:1134804149
Name:TRAPEAU, LUCAS
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:TRAPEAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 DAIRY RD STE 239
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2986
Mailing Address - Country:US
Mailing Address - Phone:808-667-6161
Mailing Address - Fax:
Practice Address - Street 1:270 DAIRY RD STE 239
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2986
Practice Address - Country:US
Practice Address - Phone:808-667-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-5728-0225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist