Individual
JESSE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3372 E JENALAN, POST FALLS, ID 83854-7787
(208) 628-8700
Mailing address
14111 N WANDERMERE ESTATES LN, SPOKANE, WA 99208-4993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-6537
ID
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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