Jacob Daniel Miller
Jacob Daniel Miller is an Athletic Trainer in Slippery Rock, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
106 Fairview Dr Apt 103Slippery Rock, PA 16057-1542
Phone: (330) 221-0835
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1063135960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2022 |
| Last updated in NPPES | September 26, 2022 |
| Certification date | September 25, 2022 |
| Mailing address | 106 Fairview Dr Apt 103, Slippery Rock, PA 16057-1542 |
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Mr. Richard Donald Patterson Jr., MS, ATC
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