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Individual
MISTY M MILLER
Active
Individual
MISTY M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1115251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200571960 A
—
OK
05
—
345439901
—
TX
05
—
345439902
—
TX
05
—
79250572
—
NM
Enumeration date
11/05/2014
Last updated
07/21/2015
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