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

Katie Wallis, MS, ATC

Individual provider Athletic Trainer · NPI 1215439856

Katie Wallis, MS, ATC is an Athletic Trainer in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone: (573) 334-4822
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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 2009024419 (MO)

Record details

NPI number1215439856
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESFebruary 28, 2018

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