Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Theis

Individual provider Speech-Language Pathologist · NPI 1699402297

Mia Theis is a Speech-Language Pathologist in Elk Grove, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

10305 Promenade Pkwy
Elk Grove, CA 95757-9400
Phone: (916) 688-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 16719 (CA)

Record details

NPI number1699402297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2022
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address3320 Data Dr Ste 400, Rancho Cordova, CA 95670-7341

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