Individual
MRS. JILLIAN BROOK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2388 HOLLOW RD, GLASGOW, KY 42141-9404
(270) 670-8556
Mailing address
2388 HOLLOW RD, GLASGOW, KY 42141
(270) 670-8556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AO1736
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YRP626M82180
ANTHEM BC/BS
KY
Enumeration date
06/19/2017
Last updated
07/21/2022
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