NPI 1063741619

Leo J. Miller, ATCLAT

Practitioner Athletic Trainer Cedar Rapids, IA

Practice location

Address: 1026 a Ave NE, Cedar Rapids, IA 52402-5036
Phone: (319) 369-7211
Mailing address: 1100 Rockford Rd SW, Cedar Rapids, IA 52404-1858

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000723 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1063741619
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2009
Record last updated: 10 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.