CLAY DALTON THEBEAU ATC
NPI 1154994036
Specialist/Technologist - Athletic Trainer in Saint Louis, MO

Q: What is Clay Thebeau's NPI number?

The NPI number for Clay Thebeau is 1154994036. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Q: What is Clay Thebeau's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Clay Thebeau was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2021

1 COLLEGE PARK DR, SAINT LOUIS, MO 63141(314) 434-1115 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clay Dalton Thebeau Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAY DALTON THEBEAU ATC (NPI 1154994036) is an individual athletic trainer provider in Saint Louis, Missouri, licensed in Missouri (2021022097) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1154994036

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameCLAY DALTON THEBEAUCredential: ATC

Location Address1 COLLEGE PARK DRSaint Louis, MO 63141-8660

Mailing Address1 College Park DrSaint Louis, MO 63141-8660 · (314) 434-1115

Phone(314) 434-1115

Sole ProprietorNo

Enumeration DateJuly 20, 2021

NPPES CertifiedJuly 12, 2021

✔ NPI 1154994036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MO · 2021022097

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1 COLLEGE PARK DR, Saint Louis, MO 63141

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN MICHAEL GERMONPREZ

Specialist/Technologist (Athletic Trainer)