Individual provider · Type 1 NPI

Mackenzie Jaye Miller

Student in an Organized Health Care Education/Training Program · Mankato, MN

NPI number 1760140222 Active

Practice location

917 Adams St
Mankato, MN 56001-4281

Call (507) 720-7513 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1760140222

Mackenzie Jaye Miller's National Provider Identifier is 1760140222, issued on Dec 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mankato, MN. The record was last updated on Dec 2, 2021.