Provider Demographics
NPI:1225847874
Name:TRAPP, OLIVIA JILLIAN (RD)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:JILLIAN
Last Name:TRAPP
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 COBBLER LN
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-7474
Mailing Address - Country:US
Mailing Address - Phone:631-478-4839
Mailing Address - Fax:
Practice Address - Street 1:1104 COBBLER LN
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-7474
Practice Address - Country:US
Practice Address - Phone:631-478-4839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLRD.2267.RD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered