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Michael Miller, ATC

Specialist/Technologist, Athletic Trainer in Gardendale, AL. Individual provider (NPI-1).

NPI number1962856989
StatusActive
Last updated in NPPESApr 15, 2016

Details

NPI
1962856989
Entity type
Individual (NPI-1)
Name
Michael Miller
Credential
ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 15, 2016
Last updated
Apr 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer1181ALYes

Practice location

651 Main St
Suit 115
Gardendale, AL 35071-2789

Phone 205-608-3113

Mailing address

651 Main St
Suit 115
Gardendale, AL 35071-2789

Phone 205-608-3113

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Other Athletic Trainer providers in Gardendale, AL

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