Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 005370 | KY |
NPI | 1447599147 |
---|---|
Provider Name | Laura K Miller |
First Address | Louisville, KY 40241-5107 |
Second Address | Louisville, KY 40241-5107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2013 |
Last Update Date | 31/01/2013 |