Victoria Rene McCoy
Individual provider Active NPI Athletic Trainer · Eldridge, IA
NPI 1982135117 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1982135117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 087880 (IA)
- Practice address
- 6 Fox Trail CT
Eldridge, IA 52748-9526 - Phone
- (563) 340-8738
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 087880 | IA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 087880 | IA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | IA |
Addresses
Primary practice location
6 Fox Trail CT
Eldridge, IA 52748-9526
Mailing address
6 Fox Trail CT
Eldridge, IA 52748-9526
Phone (563) 340-8738
Other names
- Tori Rene McCoy
Other providers in Eldridge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. 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.