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Individual

JOHN KENNETH MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.,P.T.

Contact information

Practice address
200 NAT WASHINGTON WAY, EPHRATA, WA 98823-1997
(509) 754-4631
Mailing address
341 E BELAIR DR, MOSES LAKE, WA 98837-2580
(509) 765-8919

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006964
WA

Other

Enumeration date
03/28/2007
Last updated
07/08/2007
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