Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Marie Wallace

Individual provider Athletic Trainer · NPI 1154197929

Heather Marie Wallace is an Athletic Trainer in Redding, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1361 E Cypress Ave Ste E
Redding, CA 96002-0283
Phone: (530) 691-9940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)

Record details

NPI number1154197929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 1, 2023
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023
Mailing address3420 Little St, Redding, CA 96003-2231

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