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Nicole Miller, LMT
Massage Therapist in Manlius, New York
NPI 1811456585

Nicole Miller is a Massage Therapist based in Manlius, NY. Nicole Miller practices in Manlius, NY and has the professional credentials of LMT. The NPI Number for Nicole Miller is 1811456585 and holds a License No. 017320 (New York).

The current practice location address for Nicole Miller is 4750 Thatchwood Dr, Manlius, NY and can be reached out via phone at 315-420-1720.

Location: 4750 Thatchwood Dr, Manlius, NY, 13104-1544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811456585
Provider Name
Nicole Miller
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
4750 Thatchwood Dr, Manlius, NY, 13104-1544
Phone Number
315-420-1720
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
017320 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
4750 Thatchwood Dr
City
Manlius
State
New York
Zip
13104-1544
Phone Number
315-420-1720
Fax Number
person
Provider Business Mailing Address Details
Address
4750 Thatchwood Dr
City
Manlius
State
New York
Zip
13104-1544
Phone Number
315-420-1720
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
017320 (New York)
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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