IndividualActive
Staci Theisen, ATC
NPI 1467739367 · Athletic Trainer · Sartell, MN
Provider details
- NPI number
- 1467739367
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1287 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
158 19th St S
Sartell, MN 56377-2153
Phone: (320) 253-5385
Approximate (ZIP-level) locationGet directions
Mailing address
512 Elena Ln
Saint Joseph, MN 56374-4596
Registry dates
- Enumerated
- 2011-11-07
- Last updated
- 2011-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.