NPI 1003036351
Kenneth Lawrence Miller, PTDPT
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
Physical Therapist
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.