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

Scott Waller

Individual provider Athletic Trainer · NPI 1184376600

Scott Waller is an Athletic Trainer in Arvada, Colorado. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

9143 W 75th Cir
Arvada, CO 80005-4140
Phone: (719) 649-5182
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1184376600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing address9143 W 75th Cir, Arvada, CO 80005-4140

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