Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSAN LYNN THEISEN, LAT,ATC
ActiveMRS. SUSAN LYNN THEISEN, LAT,ATC is a Athletic Trainer healthcare provider located in DYERSVILLE, Iowa. NPI 1952323313 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DYERSVILLE, IA
Registration Details
- NPI Number
- 1952323313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2006 (20.02015389999 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00262 (IA)
Practice Information
- Address
-
814 4TH AVE SEDYERSVILLE, IA, 520402111Browse IA providers · Browse ZIP 52040
- Phone
- 5638759405
- 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.