Genni Lee Miller, LAT, ATC, PTA | |
1210 Corinth Rd, Jacksonville, TX 75766-3208 | |
(903) 586-1704 | |
Not Available |
Full Name | Genni Lee Miller |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
Location | 1210 Corinth Rd, Jacksonville, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003483777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | AT1256 (Texas) | Primary |
225200000X | Physical Therapy Assistant | 2076630 (Texas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Genni Lee Miller, LAT, ATC, PTA 260 County Road 1518, Jacksonville, TX 75766-6593 Ph: (903) 724-3232 | Genni Lee Miller, LAT, ATC, PTA 1210 Corinth Rd, Jacksonville, TX 75766-3208 Ph: (903) 586-1704 |
Mark Christopher Race, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 203 Nacogdoches St, Ste 350, Jacksonville, TX 75766 Phone: 903-586-6841 Fax: 903-586-7792 |