Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRYSTINA NICOLE MILLER, PT, DPT, ATP
Deactivated Sole ProprietorKRYSTINA NICOLE MILLER, PT, DPT, ATP is a Neurology (Occupational Therapy) healthcare provider located in MACOMB, Michigan. NPI 1619425352 is deactivated in the NPPES registry. Verify at CMS.
Neurology (Occupational Therapy) · MACOMB, MI
This NPI has been deactivated.
The record was deactivated on August 31, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619425352
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2016 (5.9671232876712 yrs)
- Last Updated
- Sep 15, 2022
- Deactivated
- Aug 31, 2022
- License
-
5501015621 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16009 LEONE DRMACOMB, MI, 480424063Browse MI providers · Browse ZIP 48042
- Phone
- 5862323644
- Fax
- 2485790197
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.