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NPI Code Detail

MEDICARE: MILES SYKES DPT, MPT, OTR

MEDICARE:   MILES  SYKES  DPT, MPT, OTR
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
1225X00000XOccupational Therapist105903TX
2225100000XPhysical Therapist1112530TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28S4279OTHERTXBCBS TEXAS

General Provider Information

NPI Number : 1740282029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILES SYKES DPT, MPT, OTR
Provider Business Mailing Address
First Line : 2929 CALDER ST
Second Line : SUITE 100
City : BEAUMONT
State : TX
Zip : 77702-1845
Country : US
Telephone Number : 409-813-1920
Fax Number : 409-813-1486
Provider Business Practice Location Address
First Line : 3570 COLLEGE ST
Second Line : SUITE 150
City : BEAUMONT
State : TX
Zip : 77701-4683
Country : US
Telephone Number : 409-813-1920
Fax Number : 409-813-1486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/19/2018

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Directions to “ MILES SYKES DPT, MPT, OTR” Practice Location

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