Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shontae Latrice Miller

Individual provider Recreation Therapist · NPI 1235792490

Shontae Latrice Miller is a Recreation Therapist in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

19733 Annchester Rd
Detroit, MI 48219-2191
Phone: (248) 238-0426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 80381

Record details

NPI number1235792490
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2019
Last updated in NPPESApril 15, 2019

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