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General NPI Number Information
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NPI Number | 1093076986
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Entity Type | Individual
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Provider Name | JASON ALLEN MILLER DPT
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Gender | Male
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 1694 TOPAZ DR
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City | LOVELAND
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State | CO
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Zip | 80537-3210
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Country | US
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Telephone | 970-593-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 E ELLSWORTH AVE APT 1012
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City | DENVER
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State | CO
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Zip | 80209-2351
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Country | US
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Telephone | 702-204-3005
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11698
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8247259-2401
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License Number State | UT
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