Individual provider · Type 1 NPI
Robert Waller, MS, ATC, LAT, NASM
Athletic Trainer · Albuquerque, NM
Practice location
10651 Wilshire Ave NE
Albuquerque, NM 87122-3160
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer Primary | 2255A2300X | 590 (NM) |
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 1831494525
Robert Waller, MS, ATC, LAT, NASM's National Provider Identifier is 1831494525, issued on Jan 11, 2011. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 7, 2025.