Healthcare Provider Details

I. General information

NPI: 1477481349
Provider Name (Legal Business Name): RYLEY MILLER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11549 YARD ST APT 233
FISHERS IN
46037-0021
US

IV. Provider business mailing address

69576 STATE ROAD 23
WALKERTON IN
46574-9708
US

V. Phone/Fax

Practice location:
  • Phone: 574-210-7030
  • Fax:
Mailing address:
  • Phone: 574-210-7030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: