Provider Demographics
NPI:1245117258
Name:MILLER, LORI ANN (LPTA)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9309 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-2016
Mailing Address - Country:US
Mailing Address - Phone:330-618-7917
Mailing Address - Fax:
Practice Address - Street 1:9309 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-2016
Practice Address - Country:US
Practice Address - Phone:330-618-7917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01476225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant