Healthcare Provider Details

I. General information

NPI: 1124942214
Provider Name (Legal Business Name): ANDREW ROBERT MILLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W BEEBE CAPPS EXPY
SEARCY AR
72143-6353
US

IV. Provider business mailing address

906 CRESTWOOD DR
BEEBE AR
72012-2146
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-2513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5872
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: