Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffery Luke Miller, COTA/L, ATP

Individual provider Occupational Therapy Assistant · NPI 1962963504

Mr. Jeffery Luke Miller, COTA/L, ATP is an Occupational Therapy Assistant in Kingsport, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

100 Netherland Ln
Kingsport, TN 37660-7245
Phone: (423) 245-0360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 01231 (TN)

Record details

NPI number1962963504
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L , ATP
Sole proprietorYes
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019

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