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Contact Information

KENNETH L MILLER, PT, DPT
3500 CAMP BOWIE BLVD
FORT WORTH, TX76107-2644
 Phone: 817-735-5466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KENNETH L MILLER · (Male)

NPI # 1003036351
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 04/27/2007
Last updated 04/22/2019 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 015564
  • TX License # 1315748
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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