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Individual

MISTY NICOLE MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
953 MAIN ST, NASHVILLE, TN 37206-3623
(615) 227-3431
Mailing address
228 CONNARE DR, MADISON, TN 37115-2309
(615) 428-0103

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3978
TN

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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