Individual
KATIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 EDISON ST, BRUSH, CO 80723-1609
(970) 842-2825
Mailing address
PO BOX 74, HILLROSE, CO 80733-0074
(970) 846-9814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013776
CO
225200000X
Physical Therapy Assistant
PTP-PTA-LIC-10565
MT
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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