Individual
SHANDA L MICKENS-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
415 E FORNANCE ST, NORRISTOWN, PA 19401-3509
(610) 724-4540
Mailing address
415 E FORNANCE ST, NORRISTOWN, PA 19401-3509
(610) 724-4540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008849
PA
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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