Individual
MACKENZIE JAYE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 ADAMS ST, MANKATO, MN 56001-4281
(507) 720-7513
Mailing address
917 ADAMS ST, MANKATO, MN 56001-4281
(507) 720-7513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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