DR. Madison Mackenzie Miller, OTD, OTR

NPI #1376106765 in Dalton Gardens, Idaho

Provider Information

NPI Number: 1376106765
Entity Type: Individual
Name: DR. Madison Mackenzie Miller, OTD, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTD, OTR
Enumeration Date: Apr 21, 2019
Last Updated: Jul 15, 2025

Practice Location

Address: 6270 N GOVERNMENT WAY
City: Dalton Gardens
State: Idaho
ZIP Code: 83815-9214
Phone: (208) 666-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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