Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genni Lee Miller, LAT, ATC, PTA

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1003483777

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?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1210 Corinth Rd
Jacksonville, 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 number1003483777
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC , PTA
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021