Provider Demographics
NPI:1497014831
Name:CLIFFE-MILLER, BARBARA (DPT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:CLIFFE-MILLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:CLIFFE-STEINMETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:630-928-5080
Practice Address - Street 1:3510 PAGE AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203
Practice Address - Country:US
Practice Address - Phone:517-781-5130
Practice Address - Fax:517-781-5131
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05012000A225100000X
OHPT004051225100000X
MI5501003901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201345300Medicaid
000000998533OtherANTHEM
OH0167138Medicaid
OHH366320Medicare PIN
IN201345300Medicaid