Individual
KIMBERLY MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3505 OWL HOOT LANE, STEAMBOAT SPRINGS, CO 80487
(970) 457-4886
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
533894
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533894
PT LICENSE
CO
Enumeration date
10/26/2005
Last updated
08/25/2014
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