McKenzie Lee Millette, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24552 Issued in OR

Practice address

111 SW H St # 8
Grants Pass, OR 97526-2505

Phone

(541) 441-5890

Fax

(541) 787-6009

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1740750991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WALKER RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275149",
            "telephone_number": "541-441-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW H ST # 8",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262505",
            "telephone_number": "541-441-5890",
            "fax_number": "541-787-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETTE",
        "first_name": "MCKENZIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Miller
• Kristin Miller, M.D.
• Michelle Renee Miller
• Richard J. Miller, DDS
• Richard Palmer Miller, DMD
• Herbert Milliora
• Kimberly Mills
• Minds in Motion
• Dennis G Minister, MD
• Edith Marie Minnick, QMHA

• Massage Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.