Individual
KEITH MONTAGUE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1717 N BAYSHORE DR, HEALTH CLUB RG LEVEL, MIAMI, FL 33132-1180
(305) 610-7081
Mailing address
2233 CALAIS DR, 54, MIAMI BEACH, FL 33141-6401
(305) 610-7081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26684
FL
Other
Enumeration date
06/11/2010
Last updated
08/13/2015
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