Individual provider · Type 1 NPI

McKellyn Miller

Massage Therapist · Sandpoint, ID

NPI number 1336734821 Active

Practice location

1315 Highway 2 Ste 2
Sandpoint, ID 83864-2724

Call (208) 263-3211 Map

Mailing address

320 Crooked Ear Dr
Sandpoint, ID 83864-9477

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-4214 (ID)

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 1336734821

McKellyn Miller's National Provider Identifier is 1336734821, issued on Mar 5, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sandpoint, ID. The record was last updated on Mar 5, 2021.