Jaelyn Alexis Milam, PTA

NPI #1508648965 in Portageville, Missouri

Provider Information

NPI Number: 1508648965
Entity Type: Individual
Name: Jaelyn Alexis Milam, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 19, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 1306 US HIGHWAY 61
City: Portageville
State: Missouri
ZIP Code: 63873-8345
Phone: (573) 379-6209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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