MEDICARE: MILLER SPORTS & WELLNESS CHIROPRACTIC

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
1	261Q00000X	Clinic/Center	4664-012	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1497055644	OTHER	WI	TYPE I NPI

General Provider Information

NPI Number	:	1528351806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLER SPORTS & WELLNESS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2363 S 102ND ST
Second Line	:	SUITE 304
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2143
Country	:	US
Telephone Number	:	262-366-3655
Fax Number	:	262-565-4304

Provider Business Practice Location Address
First Line	:	2363 S 102ND ST
Second Line	:	SUITE 304
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2143
Country	:	US
Telephone Number	:	262-366-3655
Fax Number	:	262-565-4304

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THERESE MILLER
Credential	:	D.C.
Telephone Number	:	262-366-3655

Provider Enumeration Date	:	05/19/2011
Last Update Date	:	05/19/2011

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1518975085 — DIANE MARIE COX-LOWRY MSW, LCSW
Practice Location Address:

2363 S 102ND ST , SUITE 203
WEST ALLIS, WI
53227-2143

Practice Phone: 262-375-1116
Practice Fax: 262-375-1071

1306960273 — MS. JULIE ANN ZEMAN LCSW
Practice Location Address:

2363 S 102ND ST , STE 203
WEST ALLIS, WI
53227-2143

Practice Phone: 414-545-1160
Practice Fax:

1487857959 — NANCY J RICHTER LCSW, CADCIII
Practice Location Address:

2363 S 102ND ST , #203
WEST ALLIS, WI
53227-2143

Practice Phone: 414-545-1950
Practice Fax: 414-545-4168

1326286139 — MRS. LAURA ANN LAMONT CAPSW, LCSW
Practice Location Address:

2363 S 102ND ST STE 203
WEST ALLIS, WI
53227-2143

Practice Phone: 262-648-6567
Practice Fax:

1497055644 — DR. THERESE E MILLER D.C.
Practice Location Address:

2363 S 102ND ST , 304
WEST ALLIS, WI
53227-2143

Practice Phone: 262-366-3655
Practice Fax:

Directions to “MILLER SPORTS & WELLNESS CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.