Isaac Rafe Mills, PTA
Physical Medicine & Rehabilitation in Corbin, KY. Individual provider (NPI-1).
NPI number1891456901
StatusActive
Last updated in NPPESJan 2, 2022
Details
- NPI
- 1891456901
- Entity type
- Individual (NPI-1)
- Name
- Isaac Rafe Mills
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2022
- Certification date
- Jan 2, 2022
- Last updated
- Jan 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A02396 | KY | Yes |
Practice location
270 Bacon Creek RdCorbin, KY 40701-8640
Phone 606-528-8822
Mailing address
179 Patricia LnCorbin, KY 40701-4384
Phone 606-521-0943
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