Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Trevisan, MSOP, CO

Individual provider Orthotist · NPI 1184149551

David Trevisan, MSOP, CO is an Orthotist in Jackson, Michigan. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1407 E Michigan Ave
Jackson, MI 49202-3517
Phone: (517) 784-1142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X

Record details

NPI number1184149551
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOP , CO
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1407 E Michigan Ave, Jackson, MI 49202-3517

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