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MR. ALLEN KEITH WALLACE JR.
NPI 1992398184
Specialist/Technologist - Athletic Trainer in Louisville, KY

Active since February 18, 2021
1600 RIVER SHORE DR APT 2040, LOUISVILLE, KY 40206(901) 212-9333 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Allen Keith Wallace Jr. NPPES

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

MR. ALLEN KEITH WALLACE JR. (NPI 1992398184) is an individual athletic trainer provider in Louisville, Kentucky and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1992398184
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. ALLEN KEITH WALLACE JR.
Location Address1600 RIVER SHORE DR APT 2040Louisville, KY 40206-1913
Mailing Address1600 River Shore Dr Apt 2040Louisville, KY 40206-1913
Phone(901) 212-9333
Sole ProprietorYes
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1992398184 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
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.
1600 RIVER SHORE DR APT 2040, Louisville, KY 40206
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Other Identifiers 1

OtherQUP020M92733KY · Anthem

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 Allen Wallace's NPI number?

The NPI number for Allen Wallace is 1992398184. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Allen Wallace located?

Allen Wallace practices at 1600 River Shore Dr Apt 2040, Louisville, KY 40206. The listed phone number is (901) 212-9333.

What is Allen 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 Allen Wallace was last updated on February 18, 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.