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Stacie Jo Miller, LMT
Massage Therapist in Salem, Oregon
NPI 1700445368

Stacie Jo Miller is a Massage Therapist based in Salem, OR. Stacie Jo Miller practices in Salem, OR and has the professional credentials of LMT. The NPI Number for Stacie Jo Miller is 1700445368 and holds a License No. 19591 (Oregon).

The current practice location address for Stacie Jo Miller is 1640 Lancaster Dr Ne, Salem, OR and can be reached out via phone at 503-339-7351.

Location: 1640 Lancaster Dr Ne, Salem, OR, 97301-8892
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Provider Profile Details
NPI Number
1700445368
Provider Name
Stacie Jo Miller
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1640 Lancaster Dr Ne, Salem, OR, 97301-8892
Phone Number
503-339-7351
Fax Number
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19591 01 OR OBMT
institution
Provider Business Practice Location Address Details
Address
1640 Lancaster Dr Ne
City
State
Zip
97301-1922
Phone Number
503-339-7351
Fax Number
person
Provider Business Mailing Address Details
Address
1640 Lancaster Dr Ne
City
State
Zip
97301-1922
Phone Number
503-339-7351
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
19591 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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