Healthcare Provider Details

I. General information

NPI: 1366307647
Provider Name (Legal Business Name): RUBY J MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29001 TOWNSHIP ROAD 359
WARSAW OH
43844-9679
US

IV. Provider business mailing address

29001 TOWNSHIP ROAD 359
WARSAW OH
43844-9679
US

V. Phone/Fax

Practice location:
  • Phone: 719-680-2680
  • Fax:
Mailing address:
  • Phone: 719-680-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: