Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sage Alexandra Wallace, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1184339319

Sage Alexandra Wallace, MS, LAT, ATC is an Athletic Trainer in Crozet, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5941 Rockfish Gap Tpke
Crozet, VA 22932-3405
Phone: (434) 823-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1184339319
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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