Mary Ann Miller, LMP
Individual provider Active NPI Massage Therapist · Soap Lake, WA
NPI 1295859130 · NPPES record last updated Jul 3, 2008
Key facts
- NPI
- 1295859130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00016970 (WA)
- Practice address
- 318 Main Avenue East
Soap Lake, WA 98851 - Phone
- (509) 246-1660
- Fax
- (509) 246-1660
- NPI assigned
- Mar 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00016970 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00016970 | WA | Yes |
Addresses
Primary practice location
318 Main Avenue East
Soap Lake, WA 98851
Mailing address
PO Box 1267
Ephrata, WA 98823-1699
Phone (360) 286-8151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204320615 | Other | WA | AXIA HEALTH NETWORK |
Other providers in Soap Lake, WA
- Kandice Krause
- Mary Lou Langley
- Eldon Lester Leinweber
- Miller Relationship Center, PLLC
- Machelle R Miller
- North Central Washington Health LLC
- Paul Armen Odian
- Oliveleaf
- Public Hospital District #4 of Grant County
- Laura Savage
All providers in Soap Lake, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.