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

Individual provider Athletic Trainer · NPI 1063449858

Wayne Thomas Northrup, ATC is an Athletic Trainer in Los Angeles, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11350 Palms Blvd
Los Angeles, CA 90066-2104
Phone: (310) 391-7127
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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 number1063449858
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007

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