Genni Lee Miller, LAT, ATC, PTA
Genni Lee Miller, LAT, ATC, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, Texas. Licensed in Texas. Registered with an NPI since 2021.
- Licensed in
- TX
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1210 Corinth RdJacksonville, TX 75766-3208
Phone: (903) 586-1704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence AT1256 (TX) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 2076630 (TX) |
Record details
| NPI number | 1003483777 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LAT , ATC , PTA |
| Sole proprietor | No |
| NPI enumerated | June 9, 2021 |
| Last updated in NPPES | June 9, 2021 |
| Certification date | June 9, 2021 |