Individual
MISS ASHLEY ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3301 BERGQUIST AVE, SPIRIT LAKE, IA 51360-7679
(712) 336-3500
(712) 336-3505
Mailing address
1611 CHALSTROMS BEACH RD, #303, OKOBOJI, IA 51355-2559
(712) 210-7003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
079812
IA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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