| Doctor Name: | JENNA LEEANN MILLER |
| NPI Number: | 1295096683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT, ATC, CLT |
| License Number: | 11660 |
| Business Practice Address: | 2626 Glenwood Ave Suite 160 Raleigh, NC - 276081043 |
| Business Phone Number: | 8777819565 |
| Business Fax Number: | |
| Mailing Address: | 17 Maybury Ct, ARDEN |
| State: | NC |
| Postal Code: | 287042940 |
| Phone Number: | 8125280590 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2012 |
| NPI Last Update Date: | 06/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| 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 |