Provider Demographics
NPI:1245339852
Name:MILESKI, DAVID E (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:E
Last Name:MILESKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 E COUNTY ROAD 16
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-9338
Mailing Address - Country:US
Mailing Address - Phone:419-447-8553
Mailing Address - Fax:
Practice Address - Street 1:119 BIRDSEYE ST
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:OH
Practice Address - Zip Code:43410
Practice Address - Country:US
Practice Address - Phone:419-547-2176
Practice Address - Fax:419-547-2220
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH002712225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist