JENNIFER M WALLER LAT, ATC
NPI 1942645965
Specialist/Technologist - Athletic Trainer in Bellevue, WA

Q: What is Jennifer Waller's NPI number?

The NPI number for Jennifer Waller is 1942645965. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Q: What is Jennifer Waller'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 Jennifer Waller was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 03, 2013

14575 NE 35TH STREET E104, BELLEVUE, WA 98007(704) 962-5557 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer M Waller Lat, Atc NPPES

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

JENNIFER M WALLER LAT, ATC (NPI 1942645965) is an individual athletic trainer provider in Bellevue, Washington, licensed in Washington (A1 60329486) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1942645965

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJENNIFER M WALLERCredential: LAT, ATC

Location Address14575 NE 35TH STREET E104Bellevue, WA 98007

Mailing Address14575 Ne 35th Street E104Bellevue, WA 98007

Phone(704) 962-5557

Sole ProprietorNo

Enumeration DateMay 3, 2013

✔ NPI 1942645965 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 WA · A1 60329486

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.

14575 NE 35TH STREET E104, Bellevue, WA 98007

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Other Identifiers 1

Other22WA · Respiratory, Rehabilitative & Restorative Service Providers

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 Jennifer Waller's NPI number?

The NPI number for Jennifer Waller is 1942645965. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Jennifer Waller located?

Jennifer Waller practices at 14575 NE 35th Street E104, Bellevue, WA 98007. The listed phone number is (704) 962-5557.

What is Jennifer Waller'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 Jennifer Waller was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.