Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN W. WALLS, ATC, LAT
Active Sole ProprietorKEVIN W. WALLS, ATC, LAT is a Athletic Trainer healthcare provider located in MARLBOROUGH, Massachusetts. NPI 1568980910 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MARLBOROUGH, MA
Registration Details
- NPI Number
- 1568980910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2017 (8.9358221947809 yrs)
- Last Updated
- Sep 6, 2017
- License
-
1020 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
431 BOLTON STMARLBOROUGH, MA, 017523950Browse MA providers · Browse ZIP 01752
- Phone
- 5084603500
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MARLBOROUGH, MA
| Name | Credential | NPI |
|---|---|---|
| KING-JEFFREY DANSO | — | 1205444213 |
| ASHLEY MARIE DESKO | — | 1801557798 |
| EVA FORTE | — | 1780323675 |
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.