Kathryn Miller
Individual provider Active NPI Developmental Therapist · Davis, IL
NPI 1407660319 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1407660319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 2085 Lake Summerset Rd
Davis, IL 61019-9401 - Phone
- (815) 793-4394
- NPI assigned
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
2085 Lake Summerset Rd
Davis, IL 61019-9401
Mailing address
2085 Lake Summerset Rd
Davis, IL 61019-9401
Phone (815) 793-4394
Other providers in Davis, IL
- Jennifer Lee Cacciatore
- Hastings Family Chiropractic, LTD
- Angela Hastings-Kuhlmeier
- Elizabeth Johnston
- Amanda Landon
- Elise Packer
- Rudolph Counseling
- Rebecca Rudolph
- Anita Jean Rumage
- Matthew Schroeder
All providers in Davis, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.