NPI 1366651044

Charles David Miller, MAEDATC

Practitioner Athletic Trainer Fremont, NE

Practice location

Address: 900 N Clarkson St, Fremont, NE 68025-4254
Phone: (402) 941-6359
Fax: (402) 941-6011
Mailing address: 2227 Parkview Dr, Fremont, NE 68025-4519

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 349 (NE)

Other Specialist/Technologist providers in Nebraska →

Registry record

NPI: 1366651044
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2007
Record last updated: 8 Jul 2007

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.