Individual
INGA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 HIGHWAY 57, PRIEST RIVER, ID 83856-6559
(509) 671-0929
(208) 448-2808
Mailing address
PO BOX 603, NEWPORT, WA 99156-0603
(509) 671-0929
(208) 448-2808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NO LICENSE REQUIRED
ID
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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