Individual
KYLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3015 N BALLAS RD FL 5, SAINT LOUIS, MO 63131-2329
(314) 996-6500
Mailing address
9232 PAPOOSE DR, SAINT LOUIS, MO 63123-5762
(314) 277-7866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024026922
MO
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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