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

Timothy Jay Roe

Individual provider Athletic Trainer · NPI 1861986143

Timothy Jay Roe is an Athletic Trainer in Lansing, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

2909 E Grand River Ave
Lansing, MI 48912-4300
Phone: (517) 364-8695
Show map & directions

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

Additional practice locations (1)

  • 7982 Dawn Dr, Portland, MI 48875-1956 — (517) 449-0192

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601000184 (MI)

Record details

NPI number1861986143
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018
Mailing address7982 Dawn Dr, Portland, MI 48875-1956

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