Cody Wallace
Cody Wallace is an Athletic Trainer in Hampshire, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
12N854 Meadowlark DrHampshire, IL 60140-8919
Phone: (847) 652-6743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1386182038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 2, 2017 |
| Last updated in NPPES | February 2, 2017 |
| Mailing address | 12n854 Meadowlark Dr, Hampshire, IL 60140-8919 |
Other providers in Hampshire
-
Kacey Bartsch, ATC
1600 Big Timber Rd, Hampshire, IL 60140-8374 · (847) 792-3573