| Doctor Name: | NATHAN HERMILLER |
| NPI Number: | 1427462928 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 012966 |
| Business Practice Address: | 375 W Main St West Jefferson, OH - 431621298 |
| Business Phone Number: | 6148797661 |
| Business Fax Number: | 6148797604 |
| Mailing Address: | 375 W Main St, WEST JEFFERSON |
| State: | OH |
| Postal Code: | 431621298 |
| Phone Number: | 6148797661 |
| Fax Number: | 6148797604 |
| NPI Enumeration Date: | 06/12/2014 |
| NPI Last Update Date: | 06/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 012966 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |