Marisa Angelina Terrazas, BOC

Athletic Trainer · Roseville, CA

Individual Active NPI

NPI number 1164029138

Practice location

1416 Rampart Dr
Roseville, CA 95661-4749
Phone
(650) 814-7466

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NPI record

NPI
1164029138
Entity type
Individual (Type 1)
Enumeration date
October 2, 2020
Last updated
October 2, 2020
Certified
September 30, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 02020269 CA

About Marisa Terrazas

Marisa Angelina Terrazas, BOC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1416 Rampart Dr, Roseville, CA 95661-4749. The NPI number 1164029138 was assigned on October 2, 2020 and the record was last updated on October 2, 2020.

Marisa Terrazas lists a license in the registry: #02020269 (CA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marisa Angelina Terrazas, BOC?

The NPI number is 1164029138.

What is the phone number of Marisa Terrazas?

The phone number listed for the practice location is (650) 814-7466.

Where is Marisa Terrazas located?

1416 Rampart Dr, Roseville, CA 95661-4749.

What is the taxonomy code for Marisa Terrazas?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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