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

Mr. Alan William Wallace, ATC, CSCS, PES

Individual provider Athletic Trainer · NPI 1902271869

Mr. Alan William Wallace, ATC, CSCS, PES is an Athletic Trainer in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
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

2281 Antigua Dr Apt 1C
Columbus, OH 43235-6122
Phone: (412) 638-7071
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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 AT-4473 (OH)

Record details

NPI number1902271869
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , CSCS , PES
Sole proprietorYes
NPI enumeratedDecember 3, 2015
Last updated in NPPESDecember 3, 2015

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