| Kalia Ann Miller, | |
|
601 N 1st Ave, Stayton, OR 97383-1704 | |
| (503) 769-3123 | |
| Not Available |
| Full Name | Kalia Ann Miller |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 601 N 1st Ave, Stayton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811679319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 65051 (Oregon) | Primary |
| Provider Name | Promotion Advanced Functional Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710932710 PECOS PAC ID: 1759391394 Enrollment ID: O20060427000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalia Ann Miller, 1588 Drift Creek Rd Ne, Silverton, OR 97381-9515 Ph: (971) 218-3982 | Kalia Ann Miller, 601 N 1st Ave, Stayton, OR 97383-1704 Ph: (503) 769-3123 |
Joshua Andrew Hevel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Ryan John Mackenzie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Meghan Dionndra Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Mrs. Amy J Hilgers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Partridge Ct, Stayton, OR 97383 Phone: 503-769-4581 | |
Scott Demar Gale, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Mrs. Carmen L Anglin, DPT, CMP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st St, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176 | |
Everett Plocek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st Ave, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176 |