Individual
LORI K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12114 S 71 HIGHWAY, GRANDVIEW, MO 64030
(816) 877-0561
(816) 877-0565
Mailing address
12114 S 71 HIGHWAY, GRANDVIEW, MO 64030
(816) 877-0561
(816) 877-0565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1103753
KS
2251X0800X
Orthopedic Physical Therapist
Primary
2007030488
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39796012
BLUE CROSS BLUE SHIELD
MO
01
—
8T3264
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/30/2006
Last updated
07/02/2008
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