Basic Information
Provider Information
NPI: 1740676469
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: KARA
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 608 NORRIS AVE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372043708
CountryCode: US
TelephoneNumber: 6156951455
FaxNumber: 6156951483
Practice Location
Address1: 4230 HARDING PIKE STE 1000
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372052098
CountryCode: US
TelephoneNumber: 6153832693
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/09/2015
LastUpdateDate: 07/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X10461TNN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPTH9222ALY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT60506047WAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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