Individual
BRADLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
10189 N 4800 W, HIGHLAND, UT 84003-8828
(916) 823-2952
Mailing address
1924 N 840 W, PROVO, UT 84604-1031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
13457427-4810
UT
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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