KEVIN WALLACE ATC
NPI 1265100184
Specialist/Technologist - Athletic Trainer in Dechard, TN

Q: What is Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1265100184. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Q: What is Kevin Wallace'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 Kevin Wallace was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 03, 2021

100 BIBLE CROSSING RD, DECHARD, TN 37324(931) 962-9947 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Wallace Atc NPPES

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

KEVIN WALLACE ATC (NPI 1265100184) is an individual athletic trainer provider in Dechard, Tennessee, licensed in Tennessee (0000000293) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1265100184

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameKEVIN WALLACECredential: ATC

Location Address100 BIBLE CROSSING RDDechard, TN 37324

Mailing Address651 Williams StDecherd, TN 37324-3906 · (931) 691-9262

Phone(931) 962-9947

Sole ProprietorYes

Enumeration DateSeptember 3, 2021

NPPES CertifiedAugust 26, 2021

✔ NPI 1265100184 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 TN · 0000000293

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.

100 BIBLE CROSSING RD, Dechard, TN 37324

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1265100184. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Kevin Wallace located?

Kevin Wallace practices at 100 Bible Crossing Rd, Dechard, TN 37324. The listed phone number is (931) 962-9947.

What is Kevin Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Wallace was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.