Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA WALLACE, PHD, AT, ATC
Active Sole ProprietorDR. JESSICA WALLACE, PHD, AT, ATC is a Athletic Trainer healthcare provider located in YOUNGSTOWN, Ohio. NPI 1235658626 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · YOUNGSTOWN, OH
Registration Details
- NPI Number
- 1235658626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2017 (8.7243869171327 yrs)
- Last Updated
- Jul 21, 2022
- License
-
AT004914 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 UNIVERSITY PLZYOUNGSTOWN, OH, 445550001Browse OH providers · Browse ZIP 44555
- Phone
- 3309412577
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in YOUNGSTOWN, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER MARIE LESKO | ATC | 1689613374 |
| MR. JOHN WILLIAM DONEYKO | ATC | 1790987402 |
| SARAH SWISHER | ATC | 1336549070 |
| STEVE HUNTER SEIFERT III | — | 1023498300 |
| DANIEL MUSCH | MS, LAT, ATC | 1043753387 |
| EMILY MULKEY SWISHER | ATC | 1538607882 |
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.