Doctor Name: | MRS. KIMBERLY G. MILLER |
NPI Number: | 1255300455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T. |
License Number: | PT005376 |
Business Practice Address: | 110 Alta Mar Dr Ponte Vedra Beach, FL - 320822500 |
Business Phone Number: | 9044777759 |
Business Fax Number: | |
Mailing Address: | 110 Alta Mar Drive, PONTE VEDRA BEACH |
State: | FL |
Postal Code: | 32082 |
Phone Number: | 9044777759 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 05/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT005376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |