Individual provider · Type 1 NPI

Sydnee Raquel Miller, LAT, ATC

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1093471625 Active

Practice location

1101 W Montgomery Ave
Philadelphia, PA 19122-2715

Call (215) 204-5440 Map

Mailing address

1220 N Broad St Apt 821
Philadelphia, PA 19121-5163

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XRT007891 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093471625

Sydnee Raquel Miller, LAT, ATC's National Provider Identifier is 1093471625, issued on Nov 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 9, 2021.