MS. EILEEN WALLACE ATC, PTA
NPI 1568585362
Specialist/Technologist - Athletic Trainer in Long Branch, NJ

Active since April 08, 2007
10 ARTHUR AVE, LONG BRANCH, NJ 07740(732) 222-3839 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About EILEEN WALLACE

This page provides the complete NPI Profile along with additional information for Eileen Wallace, a provider established in Long Branch, New Jersey with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1568585362 assigned on April 2007. The practitioner's primary taxonomy code is 2255A2300X with license number 25MT00040000 (NJ). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1568585362 Verify this NPI
Provider Name
MS. EILEEN WALLACE ATC, PTA
Gender
Female
Entity Type
Individual
Location Address
10 ARTHUR AVE LONG BRANCH, NJ 07740
Location Phone
(732) 222-3839
Mailing Address
10 ARTHUR AVE LONG BRANCH, NJ 07740
Mailing Phone
(732) 222-3839
Is Sole Proprietor?
Yes
Enumeration Date
04-08-2007
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
25MT00040000
License State
NJ
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568585362, enumerated as an "individual" on April 08, 2007.

The provider is located at 10 ARTHUR AVE LONG BRANCH, NJ 07740 and the phone number is (732) 222-3839.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.