Provider Demographics
NPI:1700866134
Name:MILLER, RACHEL A (PT,MSPT,WCS,CFMT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:A
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT,MSPT,WCS,CFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 JOHN YOUNG WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2557
Mailing Address - Country:US
Mailing Address - Phone:610-873-3076
Mailing Address - Fax:610-873-3078
Practice Address - Street 1:470 JOHN YOUNG WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2557
Practice Address - Country:US
Practice Address - Phone:610-873-3076
Practice Address - Fax:610-873-3078
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013690L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA203290062OtherTRICARE/DEVON HEALTH SERV
PAEMO1768514OtherHIGHMARK BS #
PA089513UTGMedicare UPIN