IndividualActive
Timothy Miller, CPO
NPI 1972500346 · Prosthetist · Bettendorf, IA
Provider details
- NPI number
- 1972500346
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
Practice location
4505 Utica Ridge Rd
Bettendorf, IA 52722-1641
Phone: (563) 344-4206
Fax: (563) 344-4209
Mailing address
1764 Yankee Ave
New Liberty, IA 52765-9303
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2017-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.