Individual
SUSAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3225 W GORDON AVE, 3, LAYTON, UT 84041-6508
(801) 497-0800
(801) 497-0807
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
53276982401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760586283
—
UT
Enumeration date
09/13/2006
Last updated
04/24/2009
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