Individual
DEWAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 HIPPOCRATES WAY, GLASGOW, KY 42141-3484
(270) 629-5678
Mailing address
102 HIPPOCRATES WAY, GLASGOW, KY 42141-3484
(270) 629-5678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002087
KY
Other
Enumeration date
04/07/2006
Last updated
08/14/2009
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