IndividualActive
Jamie Miller
NPI 1912673328 · Physical Therapy Assistant · Rexburg, ID
Provider details
- NPI number
- 1912673328
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA7101 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
36 Winn Dr Ste 100
Rexburg, ID 83440-5277
Phone: (208) 356-0174
Fax: (208) 356-0176
Approximate (ZIP-level) locationGet directions
Mailing address
36 Winn Dr Ste 100
Rexburg, ID 83440-5277
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.