Jagger Miller
Physical Therapist in Grand Forks, ND. Individual provider (NPI-1).
NPI number1063308385
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1063308385
- Entity type
- Individual (NPI-1)
- Name
- Jagger Miller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2025
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2834 | ND | Yes |
Practice location
4500 S Washington St Ste BGrand Forks, ND 58201-7217
Phone 701-732-7400
Mailing address
4236 Tamarack Dr Apt 212Grand Forks, ND 58201-8526
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