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

Mr. Jeffrey John Eddy, COF, ATC, CSCS

Individual provider Athletic Trainer · NPI 1548855513

Mr. Jeffrey John Eddy, COF, ATC, CSCS is an Athletic Trainer in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

12984 Maurer Industrial Dr
Saint Louis, MO 63127-1564
Phone: (314) 842-6750
Fax: (314) 842-6761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 00194 (MO)

Record details

NPI number1548855513
Entity typeIndividual (Type 1)
GenderMale
Credentials COF , ATC , CSCS
Sole proprietorYes
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021

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