Most Relevant Information
Provider Data
| NPI Number: | 1003453663 |
| Provider Name: | NATASHA MILLER LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 027897 |
Most Important Dates
| Enumeration Date: | 12/03/2019 |
| Last Updated: | 12/03/2019 |
Provider Practice Location
229 VILLAGE AVE
ELMONT
NY
110034239
Practice Location Phone/Fax
| Phone: | 5164773748 |
| Fax: |
Provider Mailing Location
229 VILLAGE AVE
ELMONT
NY
110034239
Provider Mailing Phone/Fax
| Phone: | 5164773748 |
| Fax: |