Jaclyn Miller
Physical Therapy Assistant in Monroe City, MO. Individual provider (NPI-1).
NPI number1821148024
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821148024
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Miller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 20005041178 | MO | Yes |
Practice location
821 Hwy 24 EMonroe City, MO 63456
Phone 573-735-4113
Mailing address
Po Box 175Monroe City, MO 63456-0175
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