Individual
BRYAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
411 BERTHA WALLACE DR, IRVINE, KY 40336-9418
(606) 723-5153
(606) 723-7765
Mailing address
PO BOX 1455, BEATTYVILLE, KY 41311-1455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4116
KY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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