Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SALLIE C WALLACE, ATC
ActiveMS. SALLIE C WALLACE, ATC is a Athletic Trainer healthcare provider located in COLUMBIA, South Carolina. NPI 1386601516 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · COLUMBIA, SC
Registration Details
- NPI Number
- 1386601516
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2006 (20.249159073455 yrs)
- Last Updated
- Oct 1, 2025
- License
-
1697 (SC)
Practice Information
- Address
-
11000 HURTGEN FOREST RDCOLUMBIA, SC, 292075020Browse SC providers · Browse ZIP 29207
- Phone
- 7049951867
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN JOSEPH KASIK SR. | ATC, CPED | 1003809476 |
| FREDRICK ANTHONY GARDIN | ATC, CSCS, USAW | 1205933454 |
| MRS. JENNIFER RENEE HEROD | ATC | 1871691683 |
| MR. JOSEPH M MURPHY | ATC | 1518053396 |
| BRADLEY EUGENE YEARGIN | ATC | 1346385952 |
| MR. ROBERT SCOTT DOUGLASS | A.T.,C. | 1962524389 |
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.