Individual
KRISTY K MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
242 SW 4TH ST, MADRAS, OR 97741-1364
(541) 390-0761
Mailing address
4959 SW FRANKLIN LN, MADRAS, OR 97741-8832
(541) 546-2878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3316
OR
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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