Provider Demographics
NPI:1275343550
Name:TRAHAN, CELESTE (ATP)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:TRAHAN
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 W HARRIS RD STE B10
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6864
Mailing Address - Country:US
Mailing Address - Phone:337-739-9310
Mailing Address - Fax:866-451-8782
Practice Address - Street 1:719 W HARRIS RD STE B10
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6864
Practice Address - Country:US
Practice Address - Phone:337-739-9310
Practice Address - Fax:866-451-8782
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX966972255R0406X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind