Individual provider · Type 1 NPI

Mark Douglas Miller, LMP

Massage Therapist · Lakewood, WA

NPI number 1861640294 Active

Practice location

10312 Rainier Ave SW
Lakewood, WA 98499-4759

Call (253) 820-3292 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XMA00022515 (WA)
Massage Therapist Primary 225700000X00022515 (WA)

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 1861640294

Mark Douglas Miller, LMP's National Provider Identifier is 1861640294, issued on Aug 27, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lakewood, WA. The record was last updated on Oct 25, 2021.