Individual provider · NPI-1
Myisha Stratton
Prosthetic/Orthotic Supplier · Willow Grove, PA
NPI number1407638596
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1407638596
- Entity type
- Individual (NPI-1)
- Name
- Myisha Stratton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2023
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | CO222708L | PA | Yes |
Other names
- Myisha Miller (Former Name)
Practice location
52 N York RdWillow Grove, PA 19090-3415
Phone 267-453-9855 · Fax 215-346-2555
Mailing address
402 W Tabor RdPhiladelphia, PA 19120-2810
Phone 267-453-9855 · Fax 215-346-2555
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.