Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY THIELE, A.T.C.
Active Sole ProprietorZACHARY THIELE, A.T.C. is a Athletic Trainer healthcare provider located in WATERLOO, Indiana. NPI 1487026753 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WATERLOO, IN
Registration Details
- NPI Number
- 1487026753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2015 (10.812641564489 yrs)
- Last Updated
- Oct 27, 2015
- License
-
36001964A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1892 COUNTY ROAD 51WATERLOO, IN, 467939750Browse IN providers · Browse ZIP 46793
- Phone
- 2604381193
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.