| Doctor Name: | MICHAEL MILLETT |
| NPI Number: | 1225344021 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 19172 |
| Business Practice Address: | 145 Hazard Ave Enfield, CT - 060824521 |
| Business Phone Number: | 8602652571 |
| Business Fax Number: | 8602652574 |
| Mailing Address: | 435 Hartford Tpke, Suite U VERNON |
| State: | CT |
| Postal Code: | 060664852 |
| Phone Number: | 8609791611 |
| Fax Number: | 2038663014 |
| NPI Enumeration Date: | 08/31/2010 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 19172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |