Boden L Miller, ATC LAT
Specialist/Technologist, Athletic Trainer in Pickerington, OH. Individual provider (NPI-1).
NPI number1831677673
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1831677673
- Entity type
- Individual (NPI-1)
- Name
- Boden L Miller
- Credential
- ATC LAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2018
- Certification date
- Jun 24, 2021
- Last updated
- Jun 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT006402 | OH | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IN |
Practice location
300 Opportunity WayPickerington, OH 43147-1296
Phone 614-788-3228
Mailing address
2105 S 200 EAngola, IN 46703-8991
Phone 260-239-2310
Other practice locations
900 N John R Wooden Dr
West Lafayette, IN 47907-2117
West Lafayette, IN 47907-2117
Phone 260-239-2310
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Pickerington, OH
- Christopher James BallanceNPI 1972964310
- Gavin EdwardsNPI 1023942844
- Jonathan FreemanNPI 1124416862
- Kaitlin FreemanNPI 1437547270
- Marcus Dawne Goins, ATNPI 1063976595
- Abigail Gompers, ATC, LATNPI 1598143604
- Haley Anne Johnson, STUDENTNPI 1467927863
- Joseph ThompsonNPI 1285354175
All 9 Athletic Trainer providers in Pickerington · All 1,678 providers in Pickerington
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.