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

MS. Jessica Marie Theroux, ATC, CSCS

Individual provider Athletic Trainer · NPI 1770631350

MS. Jessica Marie Theroux, ATC, CSCS is an Athletic Trainer in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Phone: (920) 991-2561
Fax: (920) 991-2563
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 465-039 (WI)

Record details

NPI number1770631350
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , CSCS
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

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