Individual
MRS. EMILY ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC, CSCS
Contact information
Practice address
303 E EMERSON ST, BLOOMINGTON, IL 61701-1730
(309) 556-1289
Mailing address
PO BOX 2900, BLOOMINGTON, IL 61702-2900
(309) 556-1289
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Enumeration date
02/10/2006
Last updated
08/16/2007
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