NPI 1134583529

Jason Todd Miller, MEDATC

Practitioner Athletic Trainer Columbus, MS

Practice location

Address: 65 Dutch Ln, Columbus, MS 39702-5523
Phone: (662) 425-4545

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT549 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1134583529
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2016
Record last updated: 11 Apr 2016

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.