TY D MILLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010358

License Status

ACTIVE

Business

First Name

Middle

Last Name

MILLER

Business Name

TY D MILLER

Original Issue Date

02/06/2025

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

WATSON

State

Zip

62473

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/22/2025