Doctor Name: | SCOTT T MILLER |
NPI Number: | 1720019599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 5501009456 |
Business Practice Address: | 6016 Lovers Ln Portage, MI - 490023050 |
Business Phone Number: | 2693290934 |
Business Fax Number: | 2693290965 |
Mailing Address: | 13331 Park West Blvd, VICKSBURG |
State: | MI |
Postal Code: | 490978494 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501009456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |