Doctor Name: | KAREN ALLISON MILLER |
NPI Number: | 1306154505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC, OTC |
License Number: | 10-0617 |
Business Practice Address: | 4045 W Royal Dr Traverse City, MI - 496848965 |
Business Phone Number: | 2319294048 |
Business Fax Number: | 2319350905 |
Mailing Address: | 4045 W Royal Dr, TRAVERSE CITY |
State: | MI |
Postal Code: | 496848965 |
Phone Number: | 2319294048 |
Fax Number: | 2319350905 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 10-0617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |