Individual
MR. JOHN K. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2520 7TH ST. S.E., PUYALLUP, WA 98374-1105
(253) 848-2309
(253) 848-8407
Mailing address
2520 7TH ST. S.E., PUYALLUP, WA 98374-1105
(253) 848-2309
(253) 848-8407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000865
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7206204
—
WA
01
—
MI1539
REGENCE PROVIDER NUMBER
WA
Enumeration date
10/03/2006
Last updated
10/18/2007
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