Individual provider · Type 1 NPI

Zackary David Miller, LMT

Massage Therapist · Ithaca, NY

NPI number 1356829006 Active

Practice location

821 Cliff St
Ithaca, NY 14850-2097

Call (607) 256-9355 Map

Mailing address

482 Sheldon Rd Apt 8
Freeville, NY 13068-9773

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030830 (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 1356829006

Zackary David Miller, LMT's National Provider Identifier is 1356829006, issued on Aug 4, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ithaca, NY. The record was last updated on Aug 4, 2018.