IndividualActive
Adam Thiesse, AT, ATC
NPI 1558725903 · Athletic Trainer · Saint Joseph, MI
Provider details
- NPI number
- 1558725903
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- AT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2601001631 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3950 Hollywood Rd
Suite 140
Saint Joseph, MI 49085-9159
Phone: (269) 556-7150
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Lakeshore Dr
Saint Joseph, MI 49085-2382
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2016-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.