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Boden Miller, ATC LAT
NPI 1831677673 · on the registry since 2018
Practice
- Address
- 300 Opportunity Way
Pickerington, OH 43147 - Phone
- (614) 788-3228
- Clinicians at this address
- 3
Additional practice sites
- 900 N John R Wooden Dr, West Lafayette, IN
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- IN, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio