Provider Demographics
NPI:1154290419
Name:MCCUNE, TRENT ALLEN (DC)
Entity type:Individual
Prefix:
First Name:TRENT
Middle Name:ALLEN
Last Name:MCCUNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3391 FULTON RD
Mailing Address - Street 2:
Mailing Address - City:CRESTON
Mailing Address - State:OH
Mailing Address - Zip Code:44217-9438
Mailing Address - Country:US
Mailing Address - Phone:330-749-1142
Mailing Address - Fax:
Practice Address - Street 1:1330 N MAIN ST STE M
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-9800
Practice Address - Country:US
Practice Address - Phone:330-749-9161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor