Individual
HANNAH GRACE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
21 GRAHAM AVE, CORTLAND, NY 13045-2452
(802) 318-3627
Mailing address
13 LINCOLN AVE APT 1, CORTLAND, NY 13045-2068
(802) 318-3627
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004965
NY OFFICE OF PROFESSIONS
NY
01
—
2000051875
BOC
—
Enumeration date
03/02/2020
Last updated
08/05/2025
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