Provider Demographics
NPI:1609381128
Name:MILLER, LEIGH KEYSER (DPT, PT)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:KEYSER
Last Name:MILLER
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106B LAKE BOONE TRAIL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608
Mailing Address - Country:US
Mailing Address - Phone:984-322-1940
Mailing Address - Fax:919-535-3271
Practice Address - Street 1:106B LAKE BOONE TRAIL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608
Practice Address - Country:US
Practice Address - Phone:984-322-1940
Practice Address - Fax:919-535-8459
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17607225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist