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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE WALLIS, MS, ATC

Active

KATIE WALLIS, MS, ATC is a Athletic Trainer healthcare provider located in CAPE GIRARDEAU, Missouri. NPI 1215439856 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CAPE GIRARDEAU, MO

Registration Details

NPI Number
1215439856
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2018 (8.4153284190709 yrs)
Last Updated
Feb 28, 2018
License
2009024419 (MO)

Practice Information

Address
1701 LACEY ST
CAPE GIRARDEAU, MO, 637015230
Browse MO providers · Browse ZIP 63701
Phone
5733344822
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CAPE GIRARDEAU, MO

Name Credential NPI
MR. ROBERT DEAN HUNT III ATC 1679552319
MR. MARK ALAN DONELSON ATC 1609838036
MR. SCOTT ANDREW PARKER MS, ATC 1851335343
DAVID TOMCHUK ATC, LAT 1821033887
AMANDA DEE MARTIN ATC, LAT 1134165921
MRS. LAURA ANN MORNINGSTAR ATC, CES, MSA 1861419947
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.