Michael Theile, MS, LAT, ATC

NPI #1487190047 in Surprise, Arizona

Provider Information

NPI Number
1487190047
Entity Type
Individual
Name
Michael Theile, MS, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, LAT, ATC
Enumeration Date
Jan 6, 2017
Last Updated
Jan 13, 2022

Practice Location

Address
15754 N BULLARD AVE
State
Arizona
ZIP Code
85374-8839
Phone
(414) 333-3416

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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