Individual
JACIE J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
850 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814-4903
(208) 966-4376
Mailing address
3819 E 15TH AVE, SPOKANE, WA 99223-5240
(218) 686-8988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS3913
ID
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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