Individual ProviderKyle Lee MillerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address550 Osborne Rd NE, Fridley, MN 55432-2718(763) 236-3000PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Lee Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1598214009Provider TypeIndividualFull NameMiller, Kyle LeeTitleMrs.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/26/2016Last Updated9/26/2016Contact InformationPractice LocationPractice Address550 Osborne Rd NE, Fridley, MN 55432-2718Phone(763) 236-3000FaxUnlisted FaxMailing LocationMailing Address550 Osborne Rd NE, Fridley, MN 55432-2718Phone(763) 236-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10435Minnesota