Individual
TYREL SPENCER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
282 RICHMOND CIR, IDAHO FALLS, ID 83404-8418
(208) 716-6602
Mailing address
282 RICHMOND CIR, IDAHO FALLS, ID 83404-8418
(208) 716-6602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2461
ID
Other
Enumeration date
07/25/2025
Last updated
03/24/2026
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