Provider Demographics
NPI:1437304870
Name:MILLER, ROBIN LEANN (DPT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:MO
Mailing Address - Zip Code:64601-3042
Mailing Address - Country:US
Mailing Address - Phone:660-646-0022
Mailing Address - Fax:660-646-1553
Practice Address - Street 1:740 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-3042
Practice Address - Country:US
Practice Address - Phone:660-646-0022
Practice Address - Fax:660-646-1553
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008031372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist