Individual
MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
830 THOMAS MORE PKWY, EDGEWOOD, KY 41017-5102
(859) 301-5600
Mailing address
830 THOMAS MORE PKWY, EDGEWOOD, KY 41017-5102
(859) 301-5600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT996
KY
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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