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NPI Code Detail

MEDICARE: TREY MILES

MEDICARE:   TREY  MILES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1346023074
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREY MILES
Provider Business Mailing Address
First Line : 8918 BLAKENEY PROFESSIONAL DR STE 120
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-6692
Country : US
Telephone Number : 704-900-8960
Fax Number : 704-817-9523
Provider Business Practice Location Address
First Line : 9405 BRYANT FARMS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-1642
Country : US
Telephone Number : 980-207-2707
Fax Number : 980-207-2783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2023
Last Update Date : 08/16/2023

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Directions to “ TREY MILES ” Practice Location

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