MRS. Elizabeth Anne Miotke, ATC,LAT,PTA

NPI #1720352115 in Lafayette, Indiana

Provider Information

NPI Number
1720352115
Entity Type
Individual
Name
MRS. Elizabeth Anne Miotke, ATC,LAT,PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC,LAT,PTA
Enumeration Date
Mar 2, 2012
Last Updated
Mar 2, 2012

Practice Location

Address
3923 PRANGE DR
State
Indiana
ZIP Code
47905-4143
Phone
(765) 426-4173

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant
Specialist/Technologist - Athletic TrainerAthletic Trainer

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