Dr. Kenneth Lawrence Miller
Physical Therapist
3500 Camp Bowie Blvd
Fort Worth
, Texas 76107-2644
Dr. Kenneth Lawrence Miller
Physical Therapist
3500 Camp Bowie Blvd
Fort Worth
, Texas 76107-2644
(631) 697-4681
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Dr. Kenneth Lawrence Miller
- 6033 Forest Ln
- Fort Worth, TX
- Zip : 76112-1059
- Phone : (631) 697-4681
Second Address
- Dr. Kenneth Lawrence Miller
- 3500 Camp Bowie Blvd
- Fort Worth, TX
- Zip : 76107-2644
- Phone : (817) 735-5466
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 015564 | NY |
| Y | 225100000X | Physical Therapist | 1315748 | TX |
National Provider Identifier
| NPI | 1003036351 |
|---|---|
| Provider Name | Dr. Kenneth Lawrence Miller |
| First Address | Fort Worth, TX 76112-1059 |
| Second Address | Fort Worth, TX 76107-2644 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2007 |
| Last Update Date | 25/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.