Most Relevant Information
Provider Data
| NPI Number: | 1003036351 |
| Provider Name: | KENNETH LAWRENCE MILLER PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1315748 |
Most Important Dates
| Enumeration Date: | 04/27/2007 |
| Last Updated: | 05/25/2021 |
Provider Practice Location
3500 CAMP BOWIE BLVD
FORT WORTH
TX
761072644
Practice Location Phone/Fax
| Phone: | 8177355466 |
| Fax: |
Provider Mailing Location
6033 FOREST LN
FORT WORTH
TX
761121059
Provider Mailing Phone/Fax
| Phone: | 6316974681 |
| Fax: |