Individual
MACKENZIE ELIZABETH MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14302 BOSTON RD, STRONGSVILLE, OH 44136-8603
(440) 527-4384
Mailing address
14302 BOSTON RD, STRONGSVILLE, OH 44136-8603
(440) 527-4384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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