NPI 1992394928

Jesse Miller, PTA

Practitioner Physical Therapy Assistant Post Falls, ID

Practice location

Address: 3372 E Jenalan, Post Falls, ID 83854-7787
Phone: (208) 628-8700
Mailing address: 14111 N Wandermere Estates Ln, Spokane, WA 99208-4993

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-6537 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1992394928
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2021
Record last updated: 14 Jan 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.