Tracy Lynn Coffman, ATC

Individual provider Active NPI Athletic Trainer · Erlanger, KY

NPI 1831725928 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1831725928
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT329 (KY)
Practice address
700 Dolwick Dr
Erlanger, KY 41018-3231
Phone
(859) 301-5600
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT329KYMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT329 KY Yes

Addresses

Primary practice location

700 Dolwick Dr
Erlanger, KY 41018-3231

Mailing address

2373 Carthage Rd
California, KY 41007-9223
Phone (859) 760-2930

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address tracy.coffman@stelizabeth.com St. Elizabeth Healthcare
Direct Messaging Address tracy.coffman@stelizabeth.com St. Elizabeth Healthcare

Other providers in Erlanger, KY

All providers in Erlanger, KY · Athletic Trainer in Kentucky

Sources for this page

Verify at the official NPI Registry.