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

Staci M Theisen, ATC

Individual provider Athletic Trainer · NPI 1467739367

Staci M Theisen, ATC is an Athletic Trainer in Sartell, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

158 19th St S
Sartell, MN 56377-2153
Phone: (320) 253-5385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1287 (MN)

Record details

NPI number1467739367
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 7, 2011
Last updated in NPPESNovember 7, 2011

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