Provider Demographics
NPI:1740917707
Name:TREVORROW, ALEXIS (DC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:TREVORROW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 HEBRON RD STE K
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-2300
Mailing Address - Country:US
Mailing Address - Phone:740-281-0323
Mailing Address - Fax:
Practice Address - Street 1:789 HEBRON RD STE K
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-2300
Practice Address - Country:US
Practice Address - Phone:740-281-0323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor