Individual
JEREMY EUGENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4729 COUNTY ROAD 101, MINNETONKA, MN 55345-2634
(612) 775-2075
(612) 775-2076
Mailing address
4729 COUNTY ROAD 101, MINNETONKA, MN 55345-2634
(612) 775-2075
(612) 775-2076
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1998-0081
WV
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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