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 15 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