Provider Demographics
NPI:1093586133
Name:MILLER, HALEY (PT)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:TOMLINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:15765 STATE ROUTE 170 STE 2
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-9600
Mailing Address - Country:US
Mailing Address - Phone:330-386-5252
Mailing Address - Fax:330-386-3555
Practice Address - Street 1:15765 STATE ROUTE 170 STE 2
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9600
Practice Address - Country:US
Practice Address - Phone:330-386-5252
Practice Address - Fax:330-386-3555
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT019760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist