Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jessica Wallace, PHD, AT, ATC

Individual provider Athletic Trainer · NPI 1235658626

Dr. Jessica Wallace, PHD, AT, ATC is an Athletic Trainer in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1 University Plz
Youngstown, OH 44555-0001
Phone: (330) 941-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT004914 (OH)

Record details

NPI number1235658626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , AT , ATC
Sole proprietorYes
NPI enumeratedSeptember 17, 2017
Last updated in NPPESJuly 21, 2022

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