Individual
RYLIE MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0002
(208) 426-2403
(208) 426-2249
Mailing address
2106 S DENVER AVE, BOISE, ID 83706-4502
(702) 449-8909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-711
ID
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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