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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.009190 (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.