Healthcare Provider Details

I. General information

NPI: 1407642002
Provider Name (Legal Business Name): SHAILYNN MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 QUEBEC ST BLDG 600
DENVER CO
80230-7144
US

IV. Provider business mailing address

PO BOX 392977
PITTSBURGH PA
15251-9900
US

V. Phone/Fax

Practice location:
  • Phone: 303-341-0369
  • Fax: 303-341-0866
Mailing address:
  • Phone: 724-343-4060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0020765
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: