Healthcare Provider Details

I. General information

NPI: 1558272344
Provider Name (Legal Business Name): KATHRYN DANIELLE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 FOOTHILLS DR
MORGANTON NC
28655-5152
US

IV. Provider business mailing address

1932 EASTBROOK CIR
MORGANTON NC
28655-8384
US

V. Phone/Fax

Practice location:
  • Phone: 828-580-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP22011
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: