NPI 1003483777

Genni Lee Miller, LATATCPTA

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Jacksonville, TX

Practice location

Address: 1210 Corinth Rd, Jacksonville, TX 75766-3208
Phone: (903) 586-1704
Mailing address: 260 County Road 1518, Jacksonville, TX 75766-6593

Registered specialties (2)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence AT1256 (TX)

Other Physical Medicine & Rehabilitation providers in Texas →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2076630 (TX)

Other Physical Therapy Assistant providers in Texas →

Registry record

NPI: 1003483777
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2021
Record last updated: 9 Jun 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.