Provider Demographics
NPI:1548798028
Name:NEARPASS, TRENNA (PT, DPT)
Entity type:Individual
Prefix:
First Name:TRENNA
Middle Name:
Last Name:NEARPASS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 N 27TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0105
Mailing Address - Country:US
Mailing Address - Phone:406-969-2518
Mailing Address - Fax:406-969-2520
Practice Address - Street 1:1231 N 27TH ST STE 1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0105
Practice Address - Country:US
Practice Address - Phone:406-969-2518
Practice Address - Fax:406-969-2520
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-12940225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist