NPI 1538792049

Jeremy Edward Miller

Practitioner Rehabilitation Practitioner Boise, ID

Practice location

Address: 5338 W Spaulding St, Boise, ID 83705-2741
Phone: (208) 972-7547

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1538792049
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2020
Record last updated: 13 Feb 2020

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.