Healthcare Provider Details
I. General information
NPI: 1710800636
Provider Name (Legal Business Name): JOLIE ALYCE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/30/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3501 HIGHLAND PL
WESTMINSTER CO
80031-3359
US
IV. Provider business mailing address
6169 S BALSAM WAY STE 110
LITTLETON CO
80123-3000
US
V. Phone/Fax
- Phone: 303-951-8350
- Fax: 303-429-9274
- Phone: 303-948-1868
- Fax: 303-948-1741
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PTL.0021423 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: