Individual
KATHLEEN MILETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
203 N EDGEWOOD RD, MOUNT VERNON, OH 43050-2824
(765) 215-5044
Mailing address
203 N EDGEWOOD RD, MOUNT VERNON, OH 43050-2824
(765) 215-5044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.020715 L-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2LGP506600
AETNA
OH
Enumeration date
10/06/2015
Last updated
10/06/2015
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