Doctor Name: | MR. MILES ROE KEY |
NPI Number: | 1487866539 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 1628 |
Business Practice Address: | 4718 23rd Ave Suite 500 Missoula, MT - 598031163 |
Business Phone Number: | 4066260400 |
Business Fax Number: | 4066260401 |
Mailing Address: | 420 North Ave W, MISSOULA |
State: | MT |
Postal Code: | 598016707 |
Phone Number: | 4065493197 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |