Timothy Kirk Miller, LMP, LAC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60082855 Issued in WA

Practice address

902 NE 65TH St
Seattle, WA 98115-5562

Phone

(206) 267-0863

Fax

(206) 267-0814

NPI assigned

Aug 21, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dreamclinic LLC

  • Massage Therapist
  • Seattle, WA
  • NPI 1104969054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1659503738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155562",
            "telephone_number": "206-267-0863",
            "fax_number": "206-267-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155562",
            "telephone_number": "206-267-0863",
            "fax_number": "206-267-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIMOTHY",
        "middle_name": "KIRK",
        "credential": "LMP, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60102377",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60082855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan S. Miller, DDS, PLLC
• Sydney Miller, PA-C
• Sydney Leigh Miller
• Talbot Miller
• Talya Lepow Miller, MD
• Todd K. Miller, RN
• Trevor Miller, MD
• Virgina Miller, M.A., M.ED, LMHC
• William Miller
• Yuko K Miller, PA-C

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.