Healthcare Provider Details

I. General information

NPI: 1437069457
Provider Name (Legal Business Name): KAILEY MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 AKRON RD
WOOSTER OH
44691-7933
US

IV. Provider business mailing address

2323 STANTON AVE NW
MASSILLON OH
44647-6169
US

V. Phone/Fax

Practice location:
  • Phone: 330-262-4449
  • Fax:
Mailing address:
  • Phone: 330-208-6586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA008201
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: