Individual provider · Type 1 NPI

Madison Mackenzie Miller, OTD, OTR

Occupational Therapist · Dalton Gardens, ID

NPI number 1376106765 Active

Practice location

6270 N Government Way
Dalton Gardens, ID 83815-9214

Call (208) 666-0611 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X9471264 (ID)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1376106765

Madison Mackenzie Miller, OTD, OTR's National Provider Identifier is 1376106765, issued on Apr 21, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Dalton Gardens, ID. The record was last updated on Jul 15, 2025.