Individual provider · Type 1 NPI
James Wirick Miller Jr., ATC, CSCS
Specialist · Boonville, IN
NPI number
1396733804
Active
Practice location
300 N 1st St
Boonville, IN 47601-1516
Fax (812) 897-6061
Mailing address
108 1/2 W Locust St
Boonville, IN 47601-1520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 36000455A (IN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1396733804
James Wirick Miller Jr., ATC, CSCS's National Provider Identifier is 1396733804, issued on Oct 10, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boonville, IN. The record was last updated on Jul 13, 2026.