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Individual

JENNA BETHANY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, AT, ATC

Contact information

Practice address
500 S STATE ST, ANN ARBOR, MI 48109-1382
(734) 936-2938
Mailing address
7171 TIMBER RIDGE TRL, WESTLAND, MI 48185-7668
(734) 634-0251

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000052768
BOARD OF CERTIFICATION
MI
Enumeration date
02/06/2023
Last updated
02/06/2023
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