Provider Demographics
NPI:1144850967
Name:ROLLINS, VICTORIA LYNN (MAT, LAT, ATC, CES)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:MAT, LAT, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 MANCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1919
Mailing Address - Country:US
Mailing Address - Phone:501-766-1485
Mailing Address - Fax:
Practice Address - Street 1:1664 N VIRGINIA ST # MS 265
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0002
Practice Address - Country:US
Practice Address - Phone:501-766-1485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-21
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer