Individual
MR. JOSEPH JAMES THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1871 OLD MAIN DR, ATHLETICS DEPARTMENT, SHIPPENSBURG, PA 17257-2200
(717) 477-1749
Mailing address
2327 MCCLEARY DR, CHAMBERSBURG, PA 17201-7940
(717) 477-1749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003182
PA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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