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NPI Code Detail

MEDICARE: TENIKA LARAE MILLER OT

MEDICARE: TENIKA LARAE MILLER OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist6215MT

General Provider Information

NPI Number : 1164981718
Entity Type Code : Individual
Provider Name (Legal Business Name) : TENIKA LARAE MILLER OT
Provider Business Mailing Address
First Line : PO BOX 21152
Second Line :
City : BILLINGS
State : MT
Zip : 59104-1152
Country : US
Telephone Number : 406-647-0042
Fax Number : 406-204-7933
Provider Business Practice Location Address
First Line : 1601 LEWIS AVE STE 107
Second Line :
City : BILLINGS
State : MT
Zip : 59102-4182
Country : US
Telephone Number : 406-647-0042
Fax Number : 406-204-7933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2019
Last Update Date : 05/10/2025

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