National Provider Identifier
Jessa Susan Miller, PT
Jessa Susan Miller, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Wellsville, NY and a listed phone number of (585) 593-5700.
Profile Overview
- NPI
- 1376608760
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 26, 2006
- Last Updated
- July 08, 2007
Practice Location
- 240 Oconnor St
- Wellsville, NY 14895-1055
Phone: (585) 593-5700
Mailing Address
- PO Box 41
- 3931 Cottage Bridge RD
- Scio, NY 14880
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1376608760
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Jessa
- Middle Name
- Susan
- Credential
- PT
- Provider Other Last Name
- Hodge
- Provider Other First Name
- Jessa
- Provider Other Middle Name
- Susan
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- PO Box 41
- Mailing Address Line 2
- 3931 Cottage Bridge RD
- Mailing City
- Scio
- Mailing State
- NY
- Mailing ZIP Code
- 14880
- Mailing Country
- US
- Mailing Phone
- (585) 593-0283
- Practice Street Address
- 240 Oconnor St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1055
- Practice Country
- US
- Practice Phone
- (585) 593-5700
- Practice Fax
- (585) 593-4529
- Enumeration Date
- December 26, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)