Individual
MR. GREGG MATHEW MILLER
Active
Individual
MR. GREGG MATHEW MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT AT
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
AK
2255A2300X
Athletic Trainer
—
AK
225700000X
Massage Therapist
1220
AK
226300000X
Kinesiotherapist
—
AK
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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