Provider Demographics
NPI:1316572357
Name:MILLER, CASSIDY (NMD)
Entity Type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 E BELL RD UNIT 1070
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5956
Mailing Address - Country:US
Mailing Address - Phone:412-215-1366
Mailing Address - Fax:
Practice Address - Street 1:4381 N 75TH ST STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3556
Practice Address - Country:US
Practice Address - Phone:480-510-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath