Individual
KAREN ALLISON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 929-4048
(231) 935-0905
Mailing address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 929-4048
(231) 935-0905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
19739
MI
246Z00000X
Other Specialist/Technologist
10-0617
CO
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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