IndividualActive
Andrea Miles, PTA
NPI 1073850459 · Physical Therapy Assistant · Moses Lake, WA
Provider details
- NPI number
- 1073850459
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- P160039495 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1100 E Nelson Rd
Moses Lake, WA 98837-2360
Phone: (509) 765-6788
Fax: (509) 766-6757
Approximate (ZIP-level) locationGet directions
Mailing address
9327 Castlewood Dr Se
Moses Lake, WA 98837-8573
Registry dates
- Enumerated
- 2013-01-06
- Last updated
- 2013-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.