Provider Demographics
NPI:1205108941
Name:TRA' CHEZ ENTERPRISES LLC
Entity type:Organization
Organization Name:TRA' CHEZ ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MMP, LMT, CMT
Authorized Official - Phone:512-363-5946
Mailing Address - Street 1:595 ROUND ROCK WEST DR
Mailing Address - Street 2:SUITE 601
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5011
Mailing Address - Country:US
Mailing Address - Phone:512-363-5946
Mailing Address - Fax:512-366-5483
Practice Address - Street 1:595 ROUND ROCK WEST DR
Practice Address - Street 2:SUITE 601
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5011
Practice Address - Country:US
Practice Address - Phone:512-363-5946
Practice Address - Fax:512-366-5483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXME2261225700000X
225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty