Most Relevant Information
Provider Data
| NPI Number: | 1003545161 |
| Provider Name: | RACHEL MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2022 |
| Last Updated: | 06/06/2022 |
Provider Practice Location
421 MEMORIAL DR
POCATELLO
ID
832014008
Practice Location Phone/Fax
| Phone: | 2082347962 |
| Fax: |
Provider Mailing Location
4988 BILYEU CIR
CHUBBUCK
ID
832023097
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |