Individual provider · Type 1 NPI

Matthew Edwin Wallace, ATC, PES

Athletic Trainer · Omaha, NE

NPI number 1760426258 Active

Practice location

Creighton Uniuversity, 2500 California Plaza
Omaha, NE 68178-0001

Call (402) 280-5563 Map

Fax (402) 280-3110

Mailing address

2932 S 93rd Plz, Apt. 5
Omaha, NE 68124-2823

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X378 (NE)

Athletic Trainer: 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 advanc…

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About NPI 1760426258

Matthew Edwin Wallace, ATC, PES's National Provider Identifier is 1760426258, issued on Jun 15, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Omaha, NE. The record was last updated on Jul 13, 2026.