SearchMinnesotaAthletic Trainer

Staci Theisen, ATC

NPI 1467739367 · on the registry since 2011 · sole proprietor

Practice

Address
158 19th St S
Sartell, MN 56377
Phone
(320) 253-5385
Organisation at this address
Tomark Physicians Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota