Genni Lee Miller
Sports Medicine Physical Therapy Assistant
1210 Corinth Rd
Jacksonville
, Texas 75766-3208
Genni Lee Miller
Sports Medicine Physical Therapy Assistant
1210 Corinth Rd
Jacksonville
, Texas 75766-3208
(903) 724-3232
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About
Features
Specialties
- Sports Medicine
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Genni Lee Miller
- 260 County Road 1518
- Jacksonville, TX
- Zip : 75766-6593
- Phone : (903) 724-3232
Second Address
- Genni Lee Miller
- 1210 Corinth Rd
- Jacksonville, TX
- Zip : 75766-3208
- Phone : (903) 586-1704
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | AT1256 | TX |
| Y | 213ES0000X | Sports Medicine | AT1256 | TX |
| N | 225200000X | Physical Therapy Assistant | 2076630 | TX |
National Provider Identifier
| NPI | 1003483777 |
|---|---|
| Provider Name | Genni Lee Miller |
| First Address | Jacksonville, TX 75766-6593 |
| Second Address | Jacksonville, TX 75766-3208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2021 |
| Last Update Date | 09/06/2021 |
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.