Individual
JORDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
324 E PIKE ST, SOUTH LEBANON, OH 45065-1334
(513) 806-7365
Mailing address
324 E PIKE ST, SOUTH LEBANON, OH 45065-1334
(513) 806-7365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 004277
OH
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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