Individual
MRS. SUSAN K MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
804 E MAIN ST, WEST POINT, MS 39773-3137
(662) 295-6973
(662) 494-2006
Mailing address
626 E BROAD ST, WEST POINT, MS 39773-3012
(662) 295-6973
(662) 494-2006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2962
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA2962
MISSISSIPPI STATE BOARD OF PHYSICAL THERAPY
MS
Enumeration date
02/14/2011
Last updated
02/14/2011
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