Individual provider · Type 1 NPI

Jack Lawrence Miller, LMT

Massage Therapist · Tucson, AZ

NPI number 1407130198 Active

Practice location

7620 N Hartman Ln Ste 184
Tucson, AZ 85743-7485

Mailing address

8936 N Onyx St
Tucson, AZ 85742-9415

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-13827 (AZ)

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 1407130198

Jack Lawrence Miller, LMT's National Provider Identifier is 1407130198, issued on Sep 29, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tucson, AZ. The record was last updated on Sep 29, 2011.