Individual
KELLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
(608) 647-7929
Mailing address
337 W MADISON ST, SPRING GREEN, WI 53588-9207
(608) 574-9374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11239-24
WI
Other
Enumeration date
12/01/2009
Last updated
12/18/2015
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