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NPI Code Detail

MEDICARE: MR. PAUL MICHAEL MILLER DPT

MEDICARE: MR. PAUL MICHAEL MILLER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
22251X0800XOrthopedic Physical TherapistPT60842262WA

General Provider Information

NPI Number : 1235621343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL MICHAEL MILLER DPT
Provider Business Mailing Address
First Line : 2710 E 57TH AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99223-6678
Country : US
Telephone Number : 509-252-2354
Fax Number :
Provider Business Practice Location Address
First Line : 2710 E 57TH AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99223-6678
Country : US
Telephone Number : 509-252-2354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 08/09/2021

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