Doctor Name: | CONNIE S MILLER |
NPI Number: | 1346221389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 025205 PT00002409 |
Business Practice Address: | 123 E Johnson Ave Chelan, WA - 988160006 |
Business Phone Number: | 5096824713 |
Business Fax Number: | 5096823218 |
Mailing Address: | Po Box 156, CARLTON |
State: | WA |
Postal Code: | 988140156 |
Phone Number: | 5099970248 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025205 PT00002409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |