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NPI Code Detail

MEDICARE: SARAH LYNNE MILES

MEDICARE: SARAH LYNNE MILES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1952070229
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LYNNE MILES
Provider Business Mailing Address
First Line : 1810 W 25TH ST UNIT 1
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3184
Country : US
Telephone Number : 216-685-9975
Fax Number :
Provider Business Practice Location Address
First Line : 1810 W 25TH ST UNIT 1
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3184
Country : US
Telephone Number : 216-685-9975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2021
Last Update Date : 05/11/2026

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Directions to “ SARAH LYNNE MILES ” Practice Location

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