Tavy Lee Miles, PT, DPT
Individual provider Active NPI Physical Therapist · Beaver, UT
NPI 1881490399 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1881490399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14205096-2401 (UT)
- Practice address
- 1109 N 100 W
Beaver, UT 84713-7746 - Phone
- (435) 438-7100
- NPI assigned
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14205096-2401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14205096-2401 | UT | Yes |
Addresses
Primary practice location
1109 N 100 W
Beaver, UT 84713-7746
Mailing address
PO Box 2112
Beaver, UT 84713-2112
Phone (435) 310-0531
Other names
- Tavy Lee Gale
Other providers in Beaver, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.