# JASMINE SYIN-LAN MILLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053957050
- **Gender:** F
- **Credential:** LAT, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 36003514A | IN | Yes |
| 2255A2300X | Athletic Trainer | — | NULL | — |
| 2255A2300X | Athletic Trainer | — | — | — |

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 07/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2000042441 | BOC CERTIFIATION | — |
| 01 | — | 300263 | NATA MEMBER NUMBER | — |
| 01 | — | 36003514A | INDIANA AT LICENSE | IN |