Shyann Wallace, ATC, LAT
NPI 1710524913 · Athletic Trainer · Lebanon, PA
Shyann Wallace, ATC, LAT is a Athletic Trainer provider in Lebanon, PA (NPI 1710524913).
Provider details
- NPI number
- 1710524913
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- RTO000512 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
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
6 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
- 2019-12-06
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Shyann Wallace's NPI number?
- Shyann Wallace's National Provider Identifier (NPI) is 1710524913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shyann Wallace's specialty?
- Shyann Wallace is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shyann Wallace located?
- Shyann Wallace's practice location on file with NPPES is 1150 Harvest Dr, Lebanon, PA 17046-1574.
- What is Shyann Wallace's phone number?
- The practice phone number listed in the NPPES registry for Shyann Wallace is (717) 376-9110.
- Is Shyann Wallace's NPI active?
- Yes — Shyann Wallace's NPI (1710524913) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.