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Byron C Miller

Physical Therapist in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1679110548
StatusActive
Last updated in NPPESNov 29, 2021

Details

NPI
1679110548
Entity type
Individual (NPI-1)
Name
Byron C Miller
Sex
Male
Sole proprietor
No
Enumeration date
Dec 10, 2019
Certification date
Nov 29, 2021
Last updated
Nov 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist11453450-2401UTYes
2251X0800X Physical Therapist, Orthopedic––

Practice location

590 S Wakara Way
Salt Lake City, UT 84108-1200

Phone 801-587-7005

Mailing address

590 S Wakara Way
Salt Lake City, UT 84108-1200

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