Individual
HOLLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
537 W BROADWAY AVE, MOSES LAKE, WA 98837-1919
(541) 570-5300
Mailing address
6077 STRATFORD RD NE, MOSES LAKE, WA 98837-9372
(541) 570-5300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60146148
WA
Other
Enumeration date
12/28/2013
Last updated
09/21/2015
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