Whalio Doctors

NPI 1003036351

Kenneth Lawrence Miller, PTDPT

Practitioner Physical Therapist Fort Worth, TX

Practice location

Address
3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644
Phone
(817) 735-5466
Mailing address
6033 Forest Ln, Fort Worth, TX 76112-1059

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1315748 (TX)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 015564 (NY)

Registry record

NPI
1003036351
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Apr 2007
Record last updated
25 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.