Provider Demographics
NPI:1609451020
Name:MILLER, CHRISTI S (PT, OCS)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:S
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 HAMBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-9209
Mailing Address - Country:US
Mailing Address - Phone:812-282-4257
Mailing Address - Fax:812-288-1161
Practice Address - Street 1:4812 HAMBURG PIKE
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-9209
Practice Address - Country:US
Practice Address - Phone:812-282-4257
Practice Address - Fax:812-288-1161
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY003596225100000X
IN05006415A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist