Individual
MRS. JENNIFER MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11969 ALYDAR LOOP, COLORADO SPRINGS, CO 80921-4215
(760) 368-7333
Mailing address
11969 ALYDAR LOOP, COLORADO SPRINGS, CO 80921-4215
(760) 368-7333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002304
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-139-4106
DRIVERS LICENSE
CO
Enumeration date
12/27/2022
Last updated
12/27/2022
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