Individual provider · Type 1 NPI
Nicole Miller, L.M.T.
Massage Therapist · Chicago, IL
NPI number
1376950550
Active
Practice location
5215 N Ravenswood Ave, Suite 105
Chicago, IL 60640-1668
Mailing address
2137 W Cornelia Ave Apt 2W
Chicago, IL 60618-6130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.009190 (IL) |
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 1376950550
Nicole Miller, L.M.T.'s National Provider Identifier is 1376950550, issued on Jul 19, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Jul 19, 2014.