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

Mr. Walter R Blase, MS, ATC

Individual provider Specialist · NPI 1376516617

Mr. Walter R Blase, MS, ATC is a Specialist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

101 Marietta St NW Ste 1900
Atlanta, GA 30303-2720
Phone: (404) 878-3513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AT000742 (GA)

Record details

NPI number1376516617
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJuly 13, 2026

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