Individual
KRYSTINA NICOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATP
Contact information
Practice address
16009 LEONE DR, MACOMB, MI 48042-4063
(586) 232-3644
(248) 579-0197
Mailing address
53919 ATHERTON ST, NEW BALTIMORE, MI 48047-5832
(198) 940-0115
(248) 579-0197
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5501015621
MI
Other
Enumeration date
09/12/2016
Last updated
09/15/2022
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