Provider Demographics
NPI:1710554126
Name:CROOKS, VICTORIA ELIZABETH (ATC)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:ELIZABETH
Last Name:CROOKS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 SE DAKOTA TRL
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-5245
Mailing Address - Country:US
Mailing Address - Phone:816-273-7464
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF SOUTH CAROLINA
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29208-0001
Practice Address - Country:US
Practice Address - Phone:803-777-0169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-06
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer