Healthcare Provider Details

I. General information

NPI: 1790611770
Provider Name (Legal Business Name): RACHELLE MILLER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 E IRON AVE
DOVER OH
44622-2099
US

IV. Provider business mailing address

3474 STUCKY VALLEY RD SW
SUGARCREEK OH
44681-7730
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-5521
  • Fax:
Mailing address:
  • Phone: 330-691-0178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017485
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: