Mr. Robert Jason Wallace, ATC
Mr. Robert Jason Wallace, ATC is an Athletic Trainer in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2024.
- Licensed in
- MI
- In the registry since
- 2024
What do these letters mean?
- ATC — Certified Athletic Trainer
- Prevents and treats sport and activity injuries.
Practice location Address checks out
261 Mack AveDetroit, MI 48201-2417
Phone: (313) 966-7246
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2601001545 (MI) |
|---|
Record details
| NPI number | 1972325603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC |
| Sole proprietor | No |
| NPI enumerated | October 24, 2024 |
| Last updated in NPPES | October 24, 2024 |
| Certification date | October 24, 2024 |
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