Individual ProviderKevin Allen MillerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 Helen St, Clyde, OH 43410-2051(419) 547-9595(419) 547-8645PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Allen 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 ID1720270747Provider TypeIndividualFull NameMiller, Kevin AllenTitleMr.CredentialPTGenderMaleSole ProprietorYesEnumeration Date8/14/2007Last Updated8/14/2007Contact InformationPractice LocationPractice Address700 Helen St, Clyde, OH 43410-2051Phone(419) 547-9595FaxUnlisted FaxMailing LocationMailing Address137 S Main St, Clyde, OH 43410-1632Phone(419) 547-8645FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT 008623Ohio