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SHYANN WALLACE ATC, LAT
NPI 1710524913
Specialist/Technologist - Athletic Trainer in Lebanon, PA

Active since December 06, 2019
1150 HARVEST DR, LEBANON, PA 17046(717) 376-9110 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 11, 2021, Dec 6, 2019 (2 updates tracked since 2019).

About Shyann Wallace Atc, Lat NPPES

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

SHYANN WALLACE ATC, LAT (NPI 1710524913) is an individual athletic trainer provider in Lebanon, Pennsylvania, licensed in Pennsylvania (RTO000512) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1710524913
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSHYANN WALLACECredential: ATC, LAT
Location Address1150 HARVEST DRLebanon, PA 17046-1574
Mailing Address1150 Harvest DrLebanon, PA 17046-1574 · (717) 376-9110
Phone(717) 376-9110
Sole ProprietorYes
Enumeration DateDecember 6, 2019
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1710524913 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 PA · RTO000512
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.
1150 HARVEST DR, Lebanon, PA 17046
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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 Shyann Wallace's NPI number?

The NPI number for Shyann Wallace is 1710524913. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Shyann Wallace located?

Shyann Wallace practices at 1150 Harvest Dr, Lebanon, PA 17046. The listed phone number is (717) 376-9110.

What is Shyann 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 Shyann Wallace was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.