Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boden L Miller, ATCLAT

Individual provider Athletic Trainer · NPI 1831677673

Boden L Miller, ATCLAT is an Athletic Trainer in Pickerington, Ohio. Works from 2 locations. Licensed in Indiana and Ohio.

Licensed in
IN, OH
In the registry since
2018
Specialties on file
3

Practice location Address checks out

300 Opportunity Way
Pickerington, OH 43147-1296
Phone: (614) 788-3228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 — (260) 239-2310

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT006402 (OH)
Athletic Trainer Taxonomy 2255A2300X (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IN)

Record details

NPI number1831677673
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCLAT
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021

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