Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rebecca Lyn Wardlaw, ATC, MA, LAT

Individual provider Athletic Trainer · NPI 1457590846

Rebecca Lyn Wardlaw, ATC, MA, LAT is an Athletic Trainer in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2009.

Licensed in
NE
In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
MA — Master of Arts
A graduate arts degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

12809 W Dodge Rd
Omaha, NE 68154-2155
Phone: (402) 206-1945
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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 441 (NE)

Record details

NPI number1457590846
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , MA , LAT
Sole proprietorNo
NPI enumeratedFebruary 9, 2009
Last updated in NPPESFebruary 9, 2009

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