Doctor Name: | MS. DEANNA J MILLER |
NPI Number: | 1053536342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MPT, PCS |
License Number: | 2006002178 |
Business Practice Address: | 9068 Private Road 6421 West Plains, MO - 657756693 |
Business Phone Number: | 4175432744 |
Business Fax Number: | 4172561584 |
Mailing Address: | 9068 Private Road 6421, WEST PLAINS |
State: | MO |
Postal Code: | 657756693 |
Phone Number: | 4175432744 |
Fax Number: | 4172561584 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2006002178 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |