MEDICARE: DR. RACHAEL ELIZABETH MILLER PT, DPT

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	225100000X	Physical Therapist	5501013206	MI
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1659886117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHAEL ELIZABETH MILLER PT, DPT

Provider Business Mailing Address
First Line	:	1268 W FAIRVIEW LN
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1268 W FAIRVIEW LN
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4136
Country	:	US
Telephone Number	:	586-612-1921
Fax Number	:	586-612-1921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2017
Last Update Date	:	12/06/2017

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