Provider Demographics
NPI:1518256247
Name:MILLER, ESTHER MICHELLE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:MICHELLE
Last Name:MILLER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 FEATHERSTONE RD
Mailing Address - Street 2:APT 309
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2105
Mailing Address - Country:US
Mailing Address - Phone:580-374-3371
Mailing Address - Fax:
Practice Address - Street 1:1800 E MEMORIAL RD
Practice Address - Street 2:STE 101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73131-1827
Practice Address - Country:US
Practice Address - Phone:405-732-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6312255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer