Michelle Miller, ATC

NPI 1124341250 · on the registry since 2010

Practice

Address: 902 E Oak St
Suite 3
Fairbury, IL 61739
Phone: (815) 692-6200
Fax: (815) 692-6202
Organisation at this address: Champion Fitness, Inc
Highland Park Cvs, L.L.C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois