Individual provider · Type 1 NPI

Samuel Robert Miller, LMT

Massage Therapist · Coloma, MI

NPI number 1003552910 Active

Practice location

193 N Paw Paw St
Coloma, MI 49038-9792

Mailing address

913 Forest Park Ave
Watervliet, MI 49098-9316

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501017099 (MI)
Massage Therapist 225700000X032972 (NY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1003552910

Samuel Robert Miller, LMT's National Provider Identifier is 1003552910, issued on May 12, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coloma, MI. The record was last updated on May 16, 2026.