Individual
MR. JEFFERY LUKE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L, ATP
Contact information
Practice address
100 NETHERLAND LN, KINGSPORT, TN 37660-7245
(423) 245-0360
Mailing address
3441 HIGHWAY 126, BLOUNTVILLE, TN 37617-4525
(423) 844-0939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01231
TN
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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