IndividualActive
Allen Wallace
NPI 1992398184 · Athletic Trainer · Louisville, KY
Provider details
- NPI number
- 1992398184
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1600 River Shore Dr Apt 2040
Louisville, KY 40206-1913
Phone: (901) 212-9333
Approximate (ZIP-level) locationGet directions
Mailing address
1600 River Shore Dr Apt 2040
Louisville, KY 40206-1913
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.