Healthcare Provider Details

I. General information

NPI: 1023954393
Provider Name (Legal Business Name): SARAH ELIZABETH MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 W SYCAMORE ST
KOKOMO IN
46901-5148
US

IV. Provider business mailing address

5440 W 300 S
RUSSIAVILLE IN
46979-9410
US

V. Phone/Fax

Practice location:
  • Phone: 678-402-2002
  • Fax:
Mailing address:
  • Phone: 765-437-9308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: