Individual
MISS KATIE ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
280 CENTRAL AVE, FREDONIA, NY 14063-1127
(716) 673-3104
Mailing address
3380 S CREEK RD, HAMBURG, NY 14075-6145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001512-1
NY
Other
Enumeration date
08/28/2017
Last updated
01/15/2026
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