Individual
SAMANTHA PAINTER USMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
721 S GRANITE ST APT A, PRESCOTT, AZ 86303-4289
(815) 322-3450
Mailing address
721 S GRANITE ST APT A, PRESCOTT, AZ 86303-4289
(815) 322-3450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-17713
AZ
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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