NPI 1467962308

Emily Kay Wallace, ATC

Practitioner Athletic Trainer Alamosa, CO

Practice location

Address: 208 Edgemont Blvd, Alamosa, CO 81101-2320
Phone: (719) 587-8246
Mailing address: 1307 W 11th St Unit 11, Alamosa, CO 81101-3358

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Colorado →

Registry record

NPI: 1467962308
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2017
Record last updated: 5 Oct 2017

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.