Heather Marie Wallace
Athletic Trainer · Redding, CA
NPI number
1154197929
Practice location
1361 E Cypress Ave Ste ERedding, CA 96002-0283
- Phone
- (530) 691-9940
NPI record
- NPI
- 1154197929
- Entity type
- Individual (Type 1)
- Enumeration date
- December 1, 2023
- Last updated
- December 1, 2023
- Certified
- December 1, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | CA |
Mailing address
3420 Little StRedding, CA 96003-2231
- Phone
- (530) 691-9940
About Heather Wallace
Heather Marie Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1361 E Cypress Ave Ste E, Redding, CA 96002-0283. The NPI number 1154197929 was assigned on December 1, 2023 and the record was last updated on December 1, 2023.
Frequently asked questions
What is the NPI number of Heather Marie Wallace?
The NPI number is 1154197929.
What is the phone number of Heather Wallace?
The phone number listed for the practice location is (530) 691-9940.
Where is Heather Wallace located?
1361 E Cypress Ave Ste E, Redding, CA 96002-0283.
What is the taxonomy code for Heather Wallace?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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