Individual
JORDAN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S SALINA ST, SYRACUSE, NY 13202-1634
(502) 507-4842
Mailing address
495 N CORAL CANYON LOOP, FAYETTEVILLE, AR 72704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
06/26/2025
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