Individual
JENNIFER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, OTC, NREMT
Contact information
Practice address
209 S 36TH ST, MUSKOGEE, OK 74401-5043
(918) 682-7717
Mailing address
8105 E 93RD ST, #809, TULSA, OK 74133-5507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
347
OK
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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