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SHONTAE LATRICE MILLER
NPI 1235792490
Recreation Therapist in Detroit, MI

Active since April 15, 2019
19733 ANNCHESTER RD, DETROIT, MI 48219(248) 238-0426 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shontae Latrice Miller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHONTAE LATRICE MILLER (NPI 1235792490) is an individual recreation therapist in Detroit, Michigan, licensed in (80381) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1235792490
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameSHONTAE LATRICE MILLER
Location Address19733 ANNCHESTER RDDetroit, MI 48219-2191
Mailing Address19733 Annchester RdDetroit, MI 48219-2191 · (248) 238-0426
Phone(248) 238-0426
Sole ProprietorYes
Enumeration DateApril 15, 2019
✔ NPI 1235792490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed · 80381
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
19733 ANNCHESTER RD, Detroit, MI 48219
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shontae Miller's NPI number?

The NPI number for Shontae Miller is 1235792490. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Shontae Miller located?

Shontae Miller practices at 19733 Annchester Rd, Detroit, MI 48219. The listed phone number is (248) 238-0426.

What is Shontae Miller's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Shontae Miller was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.