Individual
HANNAH NICOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATC, LAT
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(330) 209-9701
Mailing address
4308 NORMAN AVE NW, CANTON, OH 44709-1634
(330) 209-9701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003149A
IN
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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