IndividualActive
Mark Miller
NPI 1508511551 · Registered Respiratory Therapist · Fort Wayne, IN
Provider details
- NPI number
- 1508511551
- Entity type
- Individual
- Primary specialty
- Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30002505A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Approximate (ZIP-level) locationGet directions
Mailing address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Registry dates
- Enumerated
- 2022-02-18
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.