Individual
JASON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 528-5516
Mailing address
345 LASSITER RD, SMITHVILLE, TN 37166-6097
(615) 464-7453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5789
TN
Other
Enumeration date
09/27/2014
Last updated
09/27/2014
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