Individual
REGGIE JOSEPH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
Mailing address
3601 LAFAYETTE ST, SIOUX CITY, IA 51104-1737
(712) 541-1874
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00540
IA
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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