NPI 1225355027

Craig J. Millham, PT

Practitioner Mechanotherapist Fredericktown, MO

Practice location

Address: 611 W Main St, Fredericktown, MO 63645-1111
Phone: (573) 783-1092
Mailing address: PO Box 590, Jackson, MO 63755-0590

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence R0220 (MO)

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Registry record

NPI: 1225355027
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2010
Record last updated: 3 May 2010

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.