Provider Demographics
NPI:1316572357
Name:MILLER, CASSIDY (NMD)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:MILLER
Suffix:
Gender:
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5113 E BARWICK DR
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5984
Mailing Address - Country:US
Mailing Address - Phone:412-215-1366
Mailing Address - Fax:480-631-0569
Practice Address - Street 1:8700 E VISTA BONITA DR STE 124
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4252
Practice Address - Country:US
Practice Address - Phone:480-415-3669
Practice Address - Fax:480-631-0569
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath