Provider Demographics
NPI:1861991127
Name:MILLER, HEATHER L (COMT)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:L
Last Name:MILLER
Suffix:
Gender:F
Credentials:COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 BANEBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-4679
Mailing Address - Country:US
Mailing Address - Phone:720-205-1914
Mailing Address - Fax:
Practice Address - Street 1:2352 MEADOWS BLVD STE 155
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8415
Practice Address - Country:US
Practice Address - Phone:720-455-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8937225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist