Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Jay Roe

Individual provider Athletic Trainer · NPI 1861986143

Timothy Jay Roe is an Athletic Trainer in Lansing, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

2909 E Grand River Ave
Lansing, MI 48912-4300
Phone: (517) 364-8695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7982 Dawn Dr, Portland, MI 48875-1956 — (517) 449-0192

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601000184 (MI)

Record details

NPI number1861986143
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018

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