Healthcare Provider Details

I. General information

NPI: 1174309009
Provider Name (Legal Business Name): JULIA ELIZABETH MILLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JULIA ELIZABETH SELTZER

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9414 RIDGETOP BLVD NW STE 106
SILVERDALE WA
98383-8526
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 360-286-2647
  • Fax:
Mailing address:
  • Phone: 423-497-0005
  • Fax: 720-497-6777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-033863
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1387411
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT031573
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19983
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61660448
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: