MEDICARE: ALISSA MARIE MILLER MAT, LAT, ATC

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2255A2300X	Athletic Trainer

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RT006791	OTHER	PA	STATE BOARD OF MEDICINE

General Provider Information

NPI Number	:	1992150957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA MARIE MILLER MAT, LAT, ATC

Provider Business Mailing Address
First Line	:	17661 MARSHALL RD
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-9775
Country	:	US
Telephone Number	:	814-573-9933
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 ARCH ST STE 101
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-3214
Country	:	US
Telephone Number	:	814-333-7109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	03/21/2023

Similar Medicare Providers

1215371562 — JOHN BALK D.O.
Practice Location Address:

321 ARCH ST STE 101
MEADVILLE, PA
16335-3214

Practice Phone: 814-333-7109
Practice Fax: 814-333-7108

1386611523 — CARL SEON
Practice Location Address:

321 ARCH ST STE 101
MEADVILLE, PA
16335-3214

Practice Phone: 814-333-7109
Practice Fax: 814-333-7108

1487183331 — WHOLE HEALTH JOINT REPLACEMENT INSTITUTE, LLC
Practice Location Address:

321 ARCH STREET , STE 101
MEADVILLE, PA
16335-3214

Practice Phone: 814-333-7109
Practice Fax: 814-333-7108

1063116119 — WHOLE HEALTH WELLNESS INSTITUTE, PLLC
Practice Location Address:

321 ARCH STREET , STE 101
MEADVILLE, PA
16335-3214

Practice Phone: 814-333-7109
Practice Fax: 814-333-7108

1770312662 — NATALIE BARCINAS
Practice Location Address:

321 ARCH ST STE 101
MEADVILLE, PA
16335-3214

Practice Phone: 833-692-6037
Practice Fax:

1710712211 — STEPHEN LUKE JAUSSEN
Practice Location Address:

321 ARCH ST STE 101
MEADVILLE, PA
16335-3214

Practice Phone: 833-447-5633
Practice Fax:

Directions to “ ALISSA MARIE MILLER MAT, LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.