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NPI Code Detail

MEDICARE: MR. TODD RICHARD MILLER PT, ATC

MEDICARE: MR. TODD RICHARD MILLER PT, ATC
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 Therapist3113NH
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1700096120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD RICHARD MILLER PT, ATC
Provider Business Mailing Address
First Line : PO BOX 20
Second Line :
City : PUTNEY
State : VT
Zip : 05346-0020
Country : US
Telephone Number : 802-387-4029
Fax Number :
Provider Business Practice Location Address
First Line : CHESHIRE MEDICAL CENTER
Second Line : 580 COURT ST
City : KEENE
State : NH
Zip : 03431-1729
Country : US
Telephone Number : 603-354-6630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 09/11/2025

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