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

Mackenzie Jaye Miller

Individual provider Athletic Trainer · NPI 1760140222

Mackenzie Jaye Miller is an Athletic Trainer in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

917 Adams St
Mankato, MN 56001-4281
Phone: (507) 720-7513
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MN)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1760140222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address917 Adams St, Mankato, MN 56001-4281

Other providers in Mankato