Provider Demographics
NPI:1265955470
Name:TRINITY WELLNESS & CHIROPRACTIC
Entity type:Organization
Organization Name:TRINITY WELLNESS & CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SASSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-779-4528
Mailing Address - Street 1:8412 N HAYSTON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2348
Mailing Address - Country:US
Mailing Address - Phone:559-779-4528
Mailing Address - Fax:
Practice Address - Street 1:8412 N HAYSTON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2348
Practice Address - Country:US
Practice Address - Phone:559-779-4528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty