Jesse Miller, PTA

NPI #1992394928 in Post Falls, Idaho

Provider Information

NPI Number: 1992394928
Entity Type: Individual
Name: Jesse Miller, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 14, 2021
Last Updated: Jan 14, 2021

Practice Location

Address: 3372 E JENALAN
City: Post Falls
State: Idaho
ZIP Code: 83854-7787
Phone: (208) 628-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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