Michael Theile, MS, LAT, ATC

Athletic Trainer · Surprise, AZ

Individual Active NPI

NPI number 1487190047

Practice location

15754 N Bullard Ave
Surprise, AZ 85374-8839
Phone
(414) 333-3416

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NPI record

NPI
1487190047
Entity type
Individual (Type 1)
Enumeration date
January 6, 2017
Last updated
January 13, 2022
Certified
January 13, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

4612 W Berkshire Dr
Franklin, WI 53132-8172

About Michael Theile

Michael Theile, MS, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 15754 N Bullard Ave, Surprise, AZ 85374-8839. The NPI number 1487190047 was assigned on January 6, 2017 and the record was last updated on January 13, 2022.

Frequently asked questions

What is the NPI number of Michael Theile, MS, LAT, ATC?

The NPI number is 1487190047.

What is the phone number of Michael Theile?

The phone number listed for the practice location is (414) 333-3416.

Where is Michael Theile located?

15754 N Bullard Ave, Surprise, AZ 85374-8839.

What is the taxonomy code for Michael Theile?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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