KRYSTINA NICOLE MILLER (NPI# 1619425352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619425352 |
| Entity Type | Individual |
| Full Name | KRYSTINA NICOLE MILLER |
| Credential | PT, DPT, ATP |
| Practice Address |
13473 Evergreen Dr Otter Lake MI 48464 |
| Mailing Address |
18428 Pellett Dr Fenton MI 48430-8508 |
| Practice Telephone | 9894001152 |
| Practice Fax Number | 2485790197 |
| Mailing Telephone | 9894001152 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
5501015621 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18428 Pellett Dr, Fenton, MI 484308508 | 9894001152 |
| Street Address |
13473 EVERGREEN DR |
| City | OTTER LAKE |
| State | MI |
| Zip Code | 48464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740663343 | Res-care Premier, Inc. | Community/Behavioral Health | 4324 Briggs Rd, Otter Lake, MI 48464-9706 | 2015-07-01 |
| 1942382619 | Completion House, Inc. Dba Turning Point Recovery Centers | Substance Abuse Rehabilitation Facility | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2006-10-20 |
| 1992956130 | Laurie Hollister | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2008-10-07 |
| 1508026238 | Marcy Carlson | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2008-06-16 |
| 1205058344 | Heidi Shock | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-05-02 |
| 1184844748 | Danielle Clayton | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-04-26 |
| 1487870051 | Dan Fettes | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-04-18 |
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562984 | Epic Management, LLC | Physical Therapist | 25865 W 12 Mile Rd Ste 101, Southfield, MI 48034-1817 | 2019-05-06 |
| 1871095273 | Mathew Alan Hoard | Physical Therapist | 3360 Hospital Rd, Saginaw, MI 48603-9622 | 2018-03-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1891297396 | Sean Patrick Murphy | Physical Therapist | 235 Wealthy St., Grand Rapids, MI 49503 | 2018-03-01 |
| 1497256531 | Natalie Brown | Physical Therapist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-23 |
| 1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1487211025 | Samuel Vanderwoude | Physical Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-05-20 |
| 1720556384 | Kristine Nicole Koch | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-11-12 |
| 1386135093 | Laura Ann Poirier | Physical Therapist | 27450 Schoenherr Rd, Warren, MI 48088-6683 | 2018-05-29 |
| Find all providers with the same taxonomy | ||||
| City | OTTER LAKE |
| Zip Code | 48464 |
Please comment or provide details below to improve the information on KRYSTINA NICOLE MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.