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

KATIE ANN WALLACE, ATC

Active Sole Proprietor

KATIE ANN WALLACE, ATC is a Athletic Trainer healthcare provider located in GREENWOOD VILLAGE, Colorado. NPI 1558089763 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GREENWOOD VILLAGE, CO

Registration Details

NPI Number
1558089763
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2022 (3.9566246976117 yrs)
Last Updated
Aug 15, 2022
Sole Proprietor
Yes

Practice Information

Address
5670 GREENWOOD PLAZA BLVD STE LL110
GREENWOOD VILLAGE, CO, 801112448
Browse CO providers · Browse ZIP 80111
Phone
3036949193
Fax
3037790566
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in GREENWOOD VILLAGE, CO

Name Credential NPI
JASON EUGENE MCWILLIAMS ATC 1831102904
SARAH E. SCOTT CAT 1780865071
MR. BRYAN CHRISTIAN EDWARDS ATC 1588016802
ANDREA SPRANKEL MS, ATC 1841737541
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.