NPI 1699969436

Gregg Mathew Miller, LMTAT

Practitioner Rehabilitation Practitioner Wasilla, AK

Practice location

Address: 5461 E Mayflower Ln STE 5, Wasilla, AK 99654-7892
Phone: (907) 376-5757

Registered specialties (4)

Rehabilitation Practitioner Primary

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

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Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1220 (AK)

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Kinesiotherapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1699969436
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2007
Record last updated: 5 Sep 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.