Individual
REGINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
352 CONSTANCE ST, LOCKBOURNE, OH 43137-9290
(615) 715-5041
Mailing address
352 CONSTANCE ST, LOCKBOURNE, OH 43137-9290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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