Kevin Wallace, ATC
NPI 1265100184 · Athletic Trainer · Dechard, TN
Kevin Wallace, ATC is a Athletic Trainer provider in Dechard, TN (NPI 1265100184).
Provider details
- NPI number
- 1265100184
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0000000293 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2021-09-03
- Certified
- 2021-08-26
Frequently asked questions
- What is Kevin Wallace's NPI number?
- Kevin Wallace's National Provider Identifier (NPI) is 1265100184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Wallace's specialty?
- Kevin Wallace is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kevin Wallace located?
- Kevin Wallace's practice location on file with NPPES is 100 Bible Crossing Rd, Dechard, TN 37324.
- What is Kevin Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kevin Wallace is (931) 962-9947.
- Is Kevin Wallace's NPI active?
- Yes — Kevin Wallace's NPI (1265100184) is active in the NPPES registry as of the last update on 2021-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.