Individual
MR. TODD CLINTON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
61 S SANDUSKY ST, DELAWARE, OH 43015-2333
(740) 368-3747
(740) 368-3763
Mailing address
7862 PINEHILL RD, LEWIS CENTER, OH 43035-6040
(740) 549-3981
(740) 368-3763
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1194
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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