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

Mr. Robert Waller, MS, ATC, LAT, NASM

Individual provider Athletic Trainer · NPI 1831494525

Mr. Robert Waller, MS, ATC, LAT, NASM is an Athletic Trainer in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

10651 Wilshire Ave NE
Albuquerque, NM 87122-3160
Phone: (307) 766-2323
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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 590 (NM)

Record details

NPI number1831494525
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT , NASM
Sole proprietorYes
NPI enumeratedJanuary 11, 2011
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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