National Provider Identifier

Katie Ann Miller, ATC

Katie Ann Miller, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Fredonia, NY and a listed phone number of (716) 673-3104.

NPI 1922525211Fredonia, NYAthletic Trainer

Profile Overview

NPI
1922525211
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 28, 2017
Last Updated
January 15, 2026

Practice Location

  • 280 Central Ave
  • Fredonia, NY 14063-1127

Phone: (716) 673-3104

Mailing Address

  • 3380 S Creek RD
  • Hamburg, NY 14075-6145

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1922525211
Entity Type
Individual
Last Name
Miller
First Name
Katie
Middle Name
Ann
Name Prefix
Miss
Credential
ATC
Mailing Street Address
3380 S Creek RD
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-6145
Mailing Country
US
Practice Street Address
280 Central Ave
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-1127
Practice Country
US
Practice Phone
(716) 673-3104
Enumeration Date
August 28, 2017
Last Updated
January 15, 2026
Sex
Female
Sole Proprietor
Yes
Certification Date
January 15, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)