SearchNew MexicoAthletic Trainer

Robert Waller, MS, ATC, LAT, NASM

NPI 1831494525 · on the registry since 2011 · sole proprietor

Practice

Address
10651 Wilshire Ave Ne
Albuquerque, NM 87122
Phone
(307) 766-2323

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico