Individual
JACOB MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1271 N 6TH ST, MILWAUKEE, WI 53212-3360
(414) 978-9100
Mailing address
1271 N 6TH ST, MILWAUKEE, WI 53212-3360
(414) 978-9100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4241-19
WI
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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