Provider Demographics
NPI:1104023258
Name:MILLER, SHEILA FAYE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:FAYE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16707 LOST QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5344
Mailing Address - Country:US
Mailing Address - Phone:281-438-0786
Mailing Address - Fax:281-438-0310
Practice Address - Street 1:7400 CLAREWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4380
Practice Address - Country:US
Practice Address - Phone:713-778-5837
Practice Address - Fax:713-778-5837
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2001376225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant