Healthcare Provider Details

I. General information

NPI: 1033235825
Provider Name (Legal Business Name): KATHRYN E MILLER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE E MILLER P.T.

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MAIN STREET
MCADENVILLE NC
28101
US

IV. Provider business mailing address

427 N MAIN ST
BELMONT NC
28012-3128
US

V. Phone/Fax

Practice location:
  • Phone: 704-560-6135
  • Fax:
Mailing address:
  • Phone: 563-505-4524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberP11558
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: