Stephanie Renee Miller, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0000010145 Issued in TN

Practice address

5564 Little Debbie Pkwy Ste 108
College Dale, TN 37363-4356

Phone

(423) 498-3400

Fax

(423) 498-3401

NPI assigned

Feb 23, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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

• Ooltewah Reach Health and Wellness PLLC

  • Chiropractor
  • Collegedale, TN
  • NPI 1861196495
  NPD

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1871249334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 LITTLE DEBBIE PKWY STE 108",
            "city": "COLLEGE DALE",
            "state": "TN",
            "postal_code": "373634356",
            "telephone_number": "423-498-3400",
            "fax_number": "423-498-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 LITTLE DEBBIE PKWY STE 108",
            "city": "COLLEGE DALE",
            "state": "TN",
            "postal_code": "373634356",
            "telephone_number": "423-498-3400",
            "fax_number": "423-498-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000010145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Chiropractic Clinic, Inc.
• Grace Juby Johnson
• Erin Elizabeth Kaline
• Ryan Lavance Lee, DC
• Amy Catherine Demaree Lewis, CRNA
• Anna Marie Mitchell, LMT
• Michelle S. Mix, FNP
• Elijah Cale Moody
• Joy-Lynn Marie Norris, D.C.
• Ooltewah Reach Health and Wellness PLLC

• Massage Therapist in Collegedale, TN
• Providers in Collegedale, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.