Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack McCollam

Individual provider Athletic Trainer · NPI 1417814310

Jack McCollam is an Athletic Trainer in Reno, Nevada. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

1664 N Virginia St
Reno, NV 89557-0002
Phone: (775) 784-1110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1417814310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address1664 N Virginia St, Reno, NV 89557-0001

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