Wendy Lee Miller, PTA

Individual provider Active NPI Physical Therapy Assistant · Malta, MT

NPI 1962069039 · NPPES record last updated May 23, 2019

Key facts

NPI
1962069039
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
801 S 3Rd St E
Malta, MT 59538-8728
Phone
(406) 654-5231
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X MT Yes

Addresses

Primary practice location

801 S 3Rd St E
Malta, MT 59538-8728

Mailing address

422 S 6TH Ave E
Box 58
Malta, MT 59538
Phone (406) 654-2362

Other providers in Malta, MT

All providers in Malta, MT · Physical Therapy Assistant in Montana

Sources for this page

Verify at the official NPI Registry.