Individual
AMANDA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMP, LMT
Contact information
Practice address
3800 W PERUGIA ST APT V308, MERIDIAN, ID 83642-4896
(509) 999-1752
Mailing address
3800 W PERUGIA ST APT V308, MERIDIAN, ID 83642-4896
(509) 999-1752
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8776A
AZ
225200000X
Physical Therapy Assistant
P160041285
WA
225200000X
Physical Therapy Assistant
Primary
PTA386
ID
225700000X
Massage Therapist
MA00022628
WA
225700000X
Massage Therapist
MAS2825
ID
225700000X
Massage Therapist
MT21298
AZ
Other
Enumeration date
12/19/2006
Last updated
04/26/2017
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