Individual
ELIZABETH MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 E 820 N APT 102, PROVO, UT 84606-4004
(360) 489-7301
Mailing address
7615 50TH AVE NE, LACEY, WA 98516-4536
(360) 489-7301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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