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

Jennifer M Waller, LAT, ATC

Individual provider Athletic Trainer · NPI 1942645965

Jennifer M Waller, LAT, ATC is an Athletic Trainer in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

14575 NE 35th Street E104
Bellevue, WA 98007
Phone: (704) 962-5557
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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 A1 60329486 (WA)

Record details

NPI number1942645965
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 3, 2013
Last updated in NPPESMay 3, 2013

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