Individual
MS. HEATHER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
1324 FOREST AVE STE 212, STATEN ISLAND, NY 10302-2044
(877) 480-8038
Mailing address
PO BOX 20521, STATEN ISLAND, NY 10302-0521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00982700
NJ
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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