Individual
CAROLINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 CENTRAL AVE STE 201, LOUISVILLE, KY 40208-1451
(502) 637-7678
Mailing address
10514 CRECELIUS DR, SAINT LOUIS, MO 63123-5022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
06/24/2024
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