Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACI M THEISEN, ATC
Active Sole ProprietorSTACI M THEISEN, ATC is a Athletic Trainer healthcare provider located in SARTELL, Minnesota. NPI 1467739367 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SARTELL, MN
Registration Details
- NPI Number
- 1467739367
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2011 (14.726873189035 yrs)
- Last Updated
- Nov 7, 2011
- License
-
1287 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
158 19TH ST SSARTELL, MN, 563772153Browse MN providers · Browse ZIP 56377
- Phone
- 3202535385
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SARTELL, MN
| Name | Credential | NPI |
|---|---|---|
| AMY MARIE BURGESS | ATC | 1043612260 |
| KIM MINKEL | ATC | 1043602295 |
| ELIZABETH AUGER | — | 1194117101 |
| MS. HEATHER FAHSL | ATC | 1578950366 |
| AARON PAUL NELSON | ATC | 1184005878 |
| ROSS BLOMME | MS, ATC | 1710353909 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.