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

ERIK J WALLACE, LAT

Active

ERIK J WALLACE, LAT is a Athletic Trainer healthcare provider located in PARK FALLS, Wisconsin. NPI 1639451651 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PARK FALLS, WI

Registration Details

NPI Number
1639451651
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2011 (14.890296736963 yrs)
Last Updated
Sep 15, 2011
License
1296 (WI)

Practice Information

Address
50 SHERRY AVE
PARK FALLS, WI, 545521467
Browse WI providers · Browse ZIP 54552
Phone
7157623212
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PARK FALLS, WI

Name Credential NPI
MR. JAMES WILLIAM NESBIT A.T.C./L.A.T. 1952393720
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.