Staci M Theisen, ATC
NPI #1467739367 in Sartell, Minnesota
Provider Information
- NPI Number
- 1467739367
- Entity Type
- Individual
- Name
- Staci M Theisen, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 7, 2011
- Last Updated
- Nov 7, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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