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

Katie Ann Wallace, ATC

Individual provider Athletic Trainer · NPI 1558089763

Katie Ann Wallace, ATC is an Athletic Trainer in Greenwood Village, Colorado. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5670 Greenwood Plaza Blvd Ste LL110
Greenwood Village, CO 80111-2448
Phone: (303) 694-9193
Fax: (303) 779-0566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1558089763
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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