Individual provider · Type 1 NPI

Shanda L. Mickens-Miller, LMT

Massage Therapist · Norristown, PA

NPI number 1700630670 Active

Practice location

415 E Fornance St
Norristown, PA 19401-3509

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMSG008849 (PA)

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 1700630670

Shanda L. Mickens-Miller, LMT's National Provider Identifier is 1700630670, issued on Apr 16, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Norristown, PA. The record was last updated on Apr 16, 2024.