Individual
CORIE ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
202 S ELDORADO RD, SUITE D3, BLOOMINGTON, IL 61704-3813
(309) 662-2900
Mailing address
202 S ELDORADO RD, SUITE D3, BLOOMINGTON, IL 61704-3813
(309) 662-2900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.014564
IL
Other
Enumeration date
05/25/2010
Last updated
06/04/2014
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