Provider Demographics
NPI:1891223889
Name:MILLER, MARILYN KAY (BA, PMA CPT, ACE CPT)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:KAY
Last Name:MILLER
Suffix:
Gender:F
Credentials:BA, PMA CPT, ACE CPT
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Mailing Address - Street 1:8 JOHN WALSH BLVD STE 428
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-5333
Mailing Address - Country:US
Mailing Address - Phone:914-739-1178
Mailing Address - Fax:
Practice Address - Street 1:8 JOHN WALSH BLVD STE 428
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-5333
Practice Address - Country:US
Practice Address - Phone:914-739-1178
Practice Address - Fax:914-739-1178
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist