MICHAEL THEILE

SURPRISE, AZ
NPI1487190047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-01-06
Last Update Date2022-01-13
Business Address
MICHAEL THEILE MS, LAT, ATC
15754 N BULLARD AVE
SURPRISE, AZ 85374-8839
Phone number: 414-333-3416
Mailing Address
MICHAEL THEILE MS, LAT, ATC
4612 W BERKSHIRE DR
FRANKLIN, WI 53132-8172
Phone number: