Individual provider · Type 1 NPI

Miles Jeffrey Banta, LMT

Massage Therapist · York, PA

NPI number 1952944191 Active

Practice location

140 Pine Grove Cmns
York, PA 17403-5151

Fax (717) 851-5957

Mailing address

3421 Concord Rd
York, PA 17402-9001

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMSG002172 (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 1952944191

Miles Jeffrey Banta, LMT's National Provider Identifier is 1952944191, issued on Oct 21, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in York, PA. The record was last updated on Oct 22, 2019.