Individual provider Active NPI

Linda Gay Miller, LMP

  • Massage Therapist
  • Auburn, WA
National Provider Identifier
1912073545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00022084 Issued in WA
Practice address
Kronlund Chiropractic Clinic PS
3820 So 320TH
Auburn, WA 98001
Phone
(253) 839-2650
Fax
(253) 839-4528
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00022084 WA Primary

Addresses

Primary practice location

Kronlund Chiropractic Clinic PS
3820 So 320TH
Auburn, WA 98001

Mailing address

4808 Gay Rd E
Tacoma, WA 98443
Phone (253) 926-8930

Other identifiers 2

IdentifierTypeStateIssuer
0208392OtherWADEPT LABOR OF INDUSTRIES
MA00022084OtherWASTATE MASSAGE LISCENSE

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

LicenseStateTypeSpecialty
MA00022084WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912073545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 GAY RD E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98443",
            "telephone_number": "253-926-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KRONLUND CHIROPRACTIC CLINIC PS",
            "address_2": "3820 SO 320TH",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98001",
            "telephone_number": "253-839-2650",
            "fax_number": "253-839-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LINDA",
        "middle_name": "GAY",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR OF INDUSTRIES",
            "identifier": "0208392",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE LISCENSE",
            "identifier": "MA00022084",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.