KATIE WALLIS MS, ATC
NPI 1215439856
Specialist/Technologist - Athletic Trainer in Cape Girardeau, MO

Q: What is Katie Wallis's NPI number?

The NPI number for Katie Wallis is 1215439856. It was assigned to this individual provider in the NPPES registry on February 28, 2018. The provider is also known as Katie Niles.

Q: What is Katie Wallis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Katie Wallis was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 28, 2018

1701 LACEY ST, CAPE GIRARDEAU, MO 63701(573) 334-4822 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katie Wallis Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE WALLIS MS, ATC (NPI 1215439856) is an individual athletic trainer provider in Cape Girardeau, Missouri, licensed in Missouri (2009024419) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1215439856

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKATIE WALLISCredential: MS, ATC

Location Address1701 LACEY STCape Girardeau, MO 63701-5230

Mailing Address141 Soakie CrkCape Girardeau, MO 63701-8135 · (573) 275-3307

Phone(573) 334-4822

Sole ProprietorNo

Enumeration DateFebruary 28, 2018

✔ NPI 1215439856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MO · 2009024419

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1701 LACEY ST, Cape Girardeau, MO 63701

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Other Names 1

Former Name (1)Katie Niles

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEAST ANESTHESIA SERVICES

Anesthesiology