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NPI Code Detail

MEDICARE: MS. HEATHER LEIGH MILES RADT

MEDICARE: MS. HEATHER LEIGH MILES RADT
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
1106S00000XBehavior TechnicianR1507970523CA

General Provider Information

NPI Number : 1841056579
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER LEIGH MILES RADT
Provider Business Mailing Address
First Line : 52310 AVENIDA MADERO
Second Line :
City : LA QUINTA
State : CA
Zip : 92253-3284
Country : US
Telephone Number : 206-371-6849
Fax Number :
Provider Business Practice Location Address
First Line : 47915 OASIS ST
Second Line :
City : INDIO
State : CA
Zip : 92201-6950
Country : US
Telephone Number : 760-863-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2024
Last Update Date : 05/29/2026

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Directions to “ MS. HEATHER LEIGH MILES RADT” Practice Location

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