Individual
ROBERT KEITH MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC/L
Contact information
Practice address
2125 NORTHPOINT BLVD, HIXSON, TN 37343-4072
(423) 875-3376
Mailing address
10590 DAFFODIL CIR, SODDY DAISY, TN 37379-3929
(423) 842-2969
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0000006796
TN
2251X0800X
Orthopedic Physical Therapist
008199
GA
2255A2300X
Athletic Trainer
0000000825
TN
2255A2300X
Athletic Trainer
001039
GA
Other
Enumeration date
09/27/2006
Last updated
12/19/2013
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