NPI 1003097825

Hayley Wallace

Practitioner Athletic Trainer Oshkosh, WI

Practice location

Address: 2725 Jackson St, Oshkosh, WI 54901-1513
Phone: (920) 223-7743

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 889 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1003097825
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2007
Record last updated: 20 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.