Individual
NATHAN MIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, M.S. IN ED., VA
Contact information
Practice address
LR HILL SPORTS COMPLEX, 4251 POWHATAN AVE, NORFOLK, VA 23529-0001
(757) 683-3677
Mailing address
200 DRIFTWOOD DR, CHESAPEAKE, VA 23320-6942
(757) 683-3677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000942
VA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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