Individual
MCKELLYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 HIGHWAY 2 STE 2, SANDPOINT, ID 83864-2724
(208) 263-3211
Mailing address
320 CROOKED EAR DR, SANDPOINT, ID 83864-9477
(208) 597-3760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4214
ID
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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