Individual provider · Type 1 NPI

Stacie Jo Miller, LMT

Massage Therapist · Salem, OR

NPI number 1700445368 Active

Practice location

1640 Lancaster Dr NE
Salem, OR 97301-1922

Call (503) 339-7351 Map

Mailing address

565 19th St SE
Salem, OR 97301-8892

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19591 (OR)

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 1700445368

Stacie Jo Miller, LMT's National Provider Identifier is 1700445368, issued on Jun 7, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salem, OR. The record was last updated on Jun 7, 2019.