Marisa Angelina Terrazas, BOC
Specialist/Technologist, Athletic Trainer in Roseville, CA. Individual provider (NPI-1).
NPI number1164029138
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1164029138
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marisa Angelina Terrazas
- Credential
- BOC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2020
- Certification date
- Sep 30, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 02020269 | CA | Yes |
Practice location
1416 Rampart DrRoseville, CA 95661-4749
Phone 650-814-7466
Mailing address
1416 Rampart DrRoseville, CA 95661-4749
Phone 650-814-7466
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Roseville, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.