Active NPI
Deborah Ann Millard, LMT NCTMB
- Massage Therapist
- Spokane, WA
National Provider Identifier
1124185301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00013021
- Practice address
- 6701 N Country Homes Blvd
Suite 200
Spokane, WA 99208-4336 - Phone
- (509) 328-1792
- Fax
- (509) 328-1265
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00013021 | WA | Primary |
Addresses
Primary practice location
6701 N Country Homes Blvd
Suite 200
Spokane, WA 99208-4336
Mailing address
6701 Country Homes Blvd
Suite 200
Spokane, WA 99208
Phone (509) 328-1792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00013021 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1124185301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 COUNTRY HOMES BLVD",
"address_2": "SUITE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99208",
"telephone_number": "509-328-1792",
"fax_number": "509-328-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N COUNTRY HOMES BLVD",
"address_2": "SUITE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992084336",
"telephone_number": "509-328-1792",
"fax_number": "509-328-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLARD",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "LMT NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00013021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.