Krystina Nicole Miller
Physical Therapist - Neurology
13473 Evergreen Dr
Otter Lake
, Michigan 48464
Krystina Nicole Miller
Physical Therapist - Neurology
13473 Evergreen Dr
Otter Lake
, Michigan 48464
(989) 400-1152
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Krystina Nicole Miller
- 18428 Pellett Dr
- Fenton, MI
- Zip : 48430-8508
- Phone : (989) 400-1152
Second Address
- Krystina Nicole Miller
- 13473 Evergreen Dr
- Otter Lake, MI
- Zip : 48464
- Fax : (248) 579-0197
- Phone : (989) 400-1152
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 5501015621 | MI |
National Provider Identifier
| NPI | 1619425352 |
|---|---|
| Provider Name | Krystina Nicole Miller |
| First Address | Fenton, MI 48430-8508 |
| Second Address | Otter Lake, MI 48464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2016 |
| Last Update Date | 30/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.