Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER MARIE WALLACE
Active Sole ProprietorHEATHER MARIE WALLACE is a Athletic Trainer healthcare provider located in REDDING, California. NPI 1154197929 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · REDDING, CA
Registration Details
- NPI Number
- 1154197929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2023 (2.7427106325186 yrs)
- Last Updated
- Dec 1, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1361 E CYPRESS AVE STE EREDDING, CA, 960020283Browse CA providers · Browse ZIP 96002
- Phone
- 5306919940
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in REDDING, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WESLEY JAY SPHAR | ATC | 1073572913 |
| CYNTHIA WILBORN | — | 1649678020 |
| STEVEN JAMES WESTLAKE | MA, ATC, PTA, CSCS | 1013307032 |
| STACIE LYN LONQUIST | ATC | 1689172405 |
| MORGAN LEE DEMENY | — | 1851859243 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.