Most Relevant Information
Provider Data
| NPI Number: | 1003552910 |
| Provider Name: | SAMUEL ROBERT MILLER LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 032972 |
Most Important Dates
| Enumeration Date: | 05/12/2022 |
| Last Updated: | 05/12/2022 |
Provider Practice Location
153 S SWAN ST FL 3
ALBANY
NY
122101716
Practice Location Phone/Fax
| Phone: | 8503131869 |
| Fax: |
Provider Mailing Location
153 S SWAN ST FL 3
ALBANY
NY
122101716
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |