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

Mr. Gary Waller, ATC

Individual provider Athletic Trainer · NPI 1568505592

Mr. Gary Waller, ATC is an Athletic Trainer in Sterling Heights, Michigan. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

6220 1 And A Half Half Mile Rd
Sterling Heights, MI 48314
Phone: (586) 731-6603
Fax: (586) 731-1148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1568505592
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address13781 Ironwood Dr, Shelby Township, MI 48315-4226

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