Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENNI LEE MILLER, LAT, ATC, PTA
ActiveGENNI LEE MILLER, LAT, ATC, PTA is a Sports Medicine (PM&R) healthcare provider located in JACKSONVILLE, Texas. NPI 1003483777 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · JACKSONVILLE, TX
Registration Details
- NPI Number
- 1003483777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2021 (4.9966929438072 yrs)
- Last Updated
- Jun 9, 2021
- Licenses
-
AT1256 (TX)2076630 (TX)
Practice Information
- Address
-
1210 CORINTH RDJACKSONVILLE, TX, 757663208Browse TX providers · Browse ZIP 75766
- Phone
- 9035861704
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.