Whalio Doctors

NPI 1104028414

Steven Wade Miller, PTA

Practitioner Physical Therapy Assistant Muskegon, MI

Practice location

Address
635 W Summit Ave, Muskegon, MI 49441-4190
Phone
(231) 830-9030
Mailing address
4532 W Kennedy Blvd # 106, Tampa, FL 33609-2042

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 19321 (FL)

Registry record

NPI
1104028414
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.