Individual
MS. TY M. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2769 IRIS AVE STE 109, BOULDER, CO 80304-4405
(303) 579-5799
Mailing address
4845 OLD POST CIR, BOULDER, CO 80301-3966
(303) 579-5799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
709
CO
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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