Individual
MISS SARAH JO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
610 E LAKESHORE DR, MANISTIQUE, MI 49854
(906) 286-9079
Mailing address
701 PARK AVE, APT A202, MANISTIQUE, MI 49854
(906) 286-9079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501011863
VA
MI
Enumeration date
02/18/2020
Last updated
02/18/2020
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