Victoria Hanline
Individual provider Active NPI Athletic Trainer · Aberdeen, SD
NPI 1982009692 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1982009692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1580 (AL)
- Practice address
- 3015 3Rd Ave SE
Aberdeen, SD 57401-5418 - Phone
- (605) 226-5500
- NPI assigned
- Oct 24, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1580 | AL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1580 | AL | Yes |
Addresses
Primary practice location
3015 3Rd Ave SE
Aberdeen, SD 57401-5418
Mailing address
1601 Olive Dr Apt 2
Aberdeen, SD 57401-1132
Phone (816) 810-7357
Other providers in Aberdeen, SD
- Cari Haase
- Lindsay Habeck
- Austin D Halfpop
- Kelsi A Hamiel
- Rocky Hand
- Stacy Hansen
- Angie Hanson
- Delaney Kathryn Hanson
- Tage Frances Hanson
- Taylor Jo Hanson
All providers in Aberdeen, SD · Athletic Trainer in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.