Individual
ANGELA JEANETTE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
7321 NEW LAGRANGE ROAD, SUITE 101, LOUISVILLE, KY 40222
(502) 290-2969
Mailing address
7321 NEW LAGRANGE ROAD, SUITE 101, LOUISVILLE, KY 40222
(502) 290-2969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107022
KY
Other
Enumeration date
02/27/2020
Last updated
03/17/2020
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