Individual
JUSTIN HART MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
6612 E 75TH ST STE 200, INDIANAPOLIS, IN 46250-2876
(317) 964-2324
(317) 972-1161
Mailing address
6612 E 75TH ST STE 200, INDIANAPOLIS, IN 46250-2876
(317) 964-2324
(317) 972-1161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000517A
IN
Other
Enumeration date
05/04/2006
Last updated
05/03/2021
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