Individual
TRAVIS MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
WILEY HALL RM 183, WEST LAFAYETTE, IN 47906-4225
(812) 629-3370
Mailing address
500 NORTH MARTIN JISCHKE DRIVE, WILEY HALL, ROOM #183, WEST LAFAYETTE, IN 47906
(812) 629-3370
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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