Provider Demographics
NPI:1609213735
Name:MILLER, RACHEL KATHERINE (ATC, LAT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:KATHERINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 CROWN POINTE DR
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-5412
Mailing Address - Country:US
Mailing Address - Phone:330-285-3571
Mailing Address - Fax:
Practice Address - Street 1:3128 CROWN POINTE DR
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-5412
Practice Address - Country:US
Practice Address - Phone:330-285-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0039912255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer