Provider Demographics
NPI:1972535946
Name:MILLER, ASHLEIGH (MPT)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681478
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-1478
Mailing Address - Country:US
Mailing Address - Phone:866-800-9147
Mailing Address - Fax:615-591-6601
Practice Address - Street 1:348 WARFIELD BLVD
Practice Address - Street 2:SUITES C & D
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8904
Practice Address - Country:US
Practice Address - Phone:931-906-4170
Practice Address - Fax:931-906-4173
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4102113OtherBCBS OF TN
TN446631Medicare ID - Type UnspecifiedGROUP