Amanda Marie Miller, PTA, LMP, LMT is a
Physical Therapy Assistant based in Meridian, Idaho. Amanda Marie Miller is licensed to practice in Idaho (license number PTA386) and her current practice location is
3800 W Perugia St Apt V308, Meridian, Idaho. She can be reached at her office (for appointments etc.) via phone at
(509) 999-1752.
NPI number for Amanda Marie Miller is 1821151044 and her current mailing address is 3800 W Perugia St Apt V308, Meridian, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821151044.
Healthcare Provider's Profile
| Full Name | Amanda Marie Miller |
|---|
| Gender | Female |
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| Speciality | Physical Therapy Assistant |
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| Location | 3800 W Perugia St Apt V308, Meridian, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821151044
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 04/26/2017
Medical Identifiers
Medical identifiers for Amanda Marie Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821151044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MA00022628 (Washington) | Secondary |
| 225200000X | Physical Therapy Assistant | P160041285 (Washington) | Secondary |
| 225700000X | Massage Therapist | MAS2825 (Idaho) | Secondary |
| 225700000X | Massage Therapist | MT21298 (Arizona) | Secondary |
| 225200000X | Physical Therapy Assistant | PTA386 (Idaho) | Primary |
| 225200000X | Physical Therapy Assistant | 8776A (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Marie Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda Marie Miller, PTA, LMP, LMT
3800 W Perugia St Apt V308,
Meridian, ID 83642-4896
Ph: (509) 999-1752 | Amanda Marie Miller, PTA, LMP, LMT
3800 W Perugia St Apt V308,
Meridian, ID 83642-4896
Ph: (509) 999-1752 |
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