Individual
MR. JOHN M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1410 N RACE ST, GLASGOW, KY 42141
(270) 651-7882
(270) 651-7883
Mailing address
PO BOX 911148, LEXINGTON, KY 40591-1148
(859) 278-2121
(859) 276-2795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000459
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87004594
—
KY
Enumeration date
07/03/2006
Last updated
07/08/2007
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