Provider Demographics
NPI:1265433668
Name:MILLER, ROBERT M III (MSPT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:MILLER
Suffix:III
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:542 WALNUT HILLS RD
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-6935
Mailing Address - Country:US
Mailing Address - Phone:540-337-1999
Mailing Address - Fax:540-337-9618
Practice Address - Street 1:542 WALNUT HILLS RD
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-6935
Practice Address - Country:US
Practice Address - Phone:540-337-1999
Practice Address - Fax:540-337-9618
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00W276B02Medicare ID - Type Unspecified