Individual
MS. SHERRY J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
18 BRENTSHIRE SQ STE A, JACKSON, TN 38305-2203
(731) 300-7465
Mailing address
18 BRENTSHIRE SQ STE A, JACKSON, TN 38305-2203
(731) 300-7465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8305
TN
374K00000X
Religious Nonmedical Practitioner
SG5HWCME
TN
376K00000X
Nurse's Aide
86913
TN
Other
Enumeration date
10/25/2019
Last updated
08/20/2020
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