Individual
JENNA KAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
10952 RAY DR, DENHAM SPRINGS, LA 70706-0535
(985) 222-3180
Mailing address
10952 RAY DR, DENHAM SPRINGS, LA 70706-0535
(985) 222-3180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310406
LA
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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