Individual
DR. MADISON MACKENZIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815-9214
(208) 666-0611
Mailing address
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815-9214
(208) 666-0611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9471264
ID
Other
Enumeration date
04/21/2019
Last updated
07/15/2025
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