Provider Demographics
NPI:1881571982
Name:MILLER, AMMI J (LMT)
Entity type:Individual
Prefix:
First Name:AMMI
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:503 FM 359 RD STE 130-201
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5195
Mailing Address - Country:US
Mailing Address - Phone:281-594-1730
Mailing Address - Fax:
Practice Address - Street 1:5545 FM 359 RD STE 13
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7682
Practice Address - Country:US
Practice Address - Phone:832-557-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100535225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist