Provider Demographics
NPI:1821590480
Name:MILHIM, JUDY LYNN (PT)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:LYNN
Last Name:MILHIM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2657 DOWNEY DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2431
Mailing Address - Country:US
Mailing Address - Phone:248-524-9148
Mailing Address - Fax:
Practice Address - Street 1:44800 DELCO BLVD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1026
Practice Address - Country:US
Practice Address - Phone:586-726-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
5501002646225100000X
MI5501002646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist