Individual
MR. MICHAEL WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
950 E RIGGS RD, STE 1, CHANDLER, AZ 85249-5399
(480) 802-0730
(480) 802-8739
Mailing address
4545 N KIRKWOOD AVE, PRESCOTT VALLEY, AZ 86314-9239
(480) 227-1240
(623) 934-3887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5010
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7725454
AETNA
AZ
01
—
AZ0401980
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/01/2005
Last updated
08/01/2012
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