Doctor Name: | BRYAN MILLER |
NPI Number: | 1275857401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 4116 |
Business Practice Address: | 411 Bertha Wallace Dr Irvine, KY - 403369418 |
Business Phone Number: | 6067235153 |
Business Fax Number: | 6067237765 |
Mailing Address: | Po Box 1455, BEATTYVILLE |
State: | KY |
Postal Code: | 413111455 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/17/2010 |
NPI Last Update Date: | 03/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |