Individual
MS. ANGELA KRISTY THELEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1720 ABBEY RD, SUITE A, EAST LANSING, MI 48823-6363
(517) 333-6692
(517) 333-6705
Mailing address
7081 CAMBRIDGE DR, LAINGSBURG, MI 48848-9222
(517) 651-6029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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