Individual ProviderNicole Kuharske-MillerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693(480) 763-5808(602) 406-3181PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Kuharske-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 3 days ago.Profile DetailsProvider ID1720551310Provider TypeIndividualFull NameKuharske-Miller, NicoleCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date1/7/2019Last Updated1/7/2019Contact InformationPractice LocationPractice Address4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693Phone(480) 763-5808Fax(480) 759-0647Mailing LocationMailing Address2910 N 3rd Ave, Phoenix, AZ 85013-4434Phone(602) 406-3181Fax(602) 406-6108Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseLPT-30423Arizona