NPI 1558089763

Katie Ann Wallace, ATC

Practitioner Athletic Trainer Greenwood Village, CO

Practice location

Address: 5670 Greenwood Plaza Blvd STE Ll110, Greenwood Village, CO 80111-2448
Phone: (303) 694-9193
Fax: (303) 779-0566
Mailing address: 6600 S Vine St APT 201, Centennial, CO 80121-2766

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Colorado →

Registry record

NPI: 1558089763
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2022
Record last updated: 15 Aug 2022

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.