Doctor Name: | MS. RENAE K MILLER |
NPI Number: | 1669626974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.P. |
License Number: | 5373 |
Business Practice Address: | 800 Sprague Ave Suite 102 Walla Walla, WA - 99362 |
Business Phone Number: | 5096291149 |
Business Fax Number: | 8885088357 |
Mailing Address: | 80 Ne 15th Ave, MILTON FREEWATER |
State: | OR |
Postal Code: | 978621641 |
Phone Number: | 5096291149 |
Fax Number: | 8885088357 |
NPI Enumeration Date: | 11/13/2008 |
NPI Last Update Date: | 11/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 5373 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |