Individual
LANCE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2205 WALL ST, EVERETT, WA 98201-3761
(425) 512-8695
(425) 512-8697
Mailing address
2205 WALL ST, EVERETT, WA 98201-3761
(425) 512-8695
(425) 512-8697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223987
DEPT. OF LABOR & INDUSTRY
WA
01
—
470930529-98201-A013
TRICARE
WA
01
—
4788MI
REGENCE BLUE SHIELD
WA
01
—
7930039
AETNA
WA
05
—
8335895
—
WA
01
—
8931866
L&I CRIME VICTIMS
WA
01
—
P00034707
RAILROAD MEDICARE
WA
Enumeration date
06/12/2006
Last updated
01/07/2026
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