Individual
DANETTE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
521 IA-39, DENISON, IA 51442
(712) 393-7724
Mailing address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03139
IA
225100000X
Physical Therapist
1857
NE
Other
Enumeration date
09/23/2015
Last updated
06/28/2018
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