Individual
MRS. KAREN I MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-5461
(417) 836-6101
Mailing address
1478 E PYTHIAN ST, SPRINGFIELD, MO 65802-2171
(906) 748-4360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2008001961
MO
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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