JEREMY EUGENE MILLER (NPI# 1528554409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528554409 |
Entity Type | Individual |
Full Name | JEREMY EUGENE MILLER |
Credential | LMT |
Practice Address |
4729 County Road 101 Minnetonka MN 55345-2634 |
Practice Telephone | 6127752075 |
Practice Fax Number | 6127752076 |
Mailing Telephone | 6127752075 |
Mailing Fax Number | 6127752076 |
Enumeration Date | 2018-07-03 |
Last Update Date | 2018-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 1998-0081 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538792049 | Jeremy Edward Miller | Rehabilitation Practitioner | 5338 W Spaulding St, Boise, ID 83705-2741 | 2020-02-13 |
1093138307 | Jeremy S Miller | Specialist/Technologist | 3507 Midway School Rd, Winston Salem, NC 27107-8741 | 2014-01-23 |
1629309562 | Jeremy Michael Miller | Military Health Care Provider | 7th Esb Bas, Unit 42210, Fpo, AP 96427-2210 | 2010-01-15 |
1831728443 | Jeremy Brian Miller | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-04-06 |
1114551181 | Jeremy Christian Miller | Student in an Organized Health Care Education/Training Program | 800 Rose St, Lexington, KY 40506-0001 | 2020-02-27 |
1306499918 | Jeremy D Miller | Specialist/Technologist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2019-07-23 |
1932615010 | Jeremy Miller | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-27 |
1912436445 | Jeremy Wilson Miller | Physical Therapist | 3121 E Madison St Ste 201, Seattle, WA 98112-4259 | 2017-06-08 |
1861938540 | Jeremy Miller | Counselor | 165 Quincy St, Brockton, MA 02302-2988 | 2017-01-18 |
1740738368 | Jeremy Anson Miller | Chiropractor | 2201 62nd Ave N, St Petersburg, FL 33702-5660 | 2016-09-12 |
Street Address |
4729 COUNTY ROAD 101 |
City | MINNETONKA |
State | MN |
Zip Code | 55345-2634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750332649 | Mark Edward Stevenson | Family Medicine | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2006-05-15 |
1144636838 | Allie Rae Nowak | Physician Assistant | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2014-07-02 |
1497160246 | Katarina Ruth Astrup | Physician Assistant | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2014-06-30 |
1053737619 | Allina Health System | Clinic/Center | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2014-03-06 |
1730436288 | Emily Knaeble | Physician Assistant | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2012-08-14 |
1942530464 | John Alan Hitt | Internal Medicine | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2010-01-05 |
1568600484 | Vikisha A Goberdhan | Physician Assistant | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2009-01-30 |
1033354832 | Teresa P Angier | Physician Assistant | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2008-12-08 |
1801057559 | Angela A Moreira | Physician Assistant | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2008-06-24 |
1104008093 | Nicole Palm | Physician Assistant | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2007-12-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
Find all providers in zip 55345 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144795907 | Jalil A Saab | Massage Therapist | 18504 Peach Tree Ct, Minnetonka, MN 55345-6090 | 2018-10-09 |
1396288049 | Mary Nan Mann | Massage Therapist | 11070 Cedar Hills Blvd, #329, Minnetonka, MN 55305-3054 | 2016-11-29 |
1215069158 | Shawn M Gardner | Massage Therapist | 11300 Minnetonka Mills Rd, Suite C, Minnetonka, MN 55305-5100 | 2007-03-09 |
1154826436 | Abby Oeffling | Massage Therapist | 11349 Highway 7, Minnetonka, MN 55305-5300 | 2018-03-28 |
1457803413 | Dawn Mckee | Massage Therapist | 11900 Wayzata Blvd, Suite 110, Minnetonka, MN 55305-2031 | 2016-10-25 |
1063829513 | Anna Schumack | Massage Therapist | 11300 Minnetonka Mills Rd, Minnetonka, MN 55305-5100 | 2014-07-16 |
1528325958 | Tami Lynn Rathai | Massage Therapist | 16190 Highway 7, Suite A, Minnetonka, MN 55345-3403 | 2012-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417379 | Amanda R Deowdat | Massage Therapist | 7515 Lyndale Ave S, Richfield, MN 55423-4091 | 2020-11-04 |
1902405459 | Ferencz Mihaly Vincze Turcean | Massage Therapist | 1703 Snelling Ave N, Falcon Heights, MN 55113-5725 | 2020-10-25 |
1447859467 | Amdemichael Retta | Massage Therapist | 1260 Larpenteur Ave W Apt 320, Saint Paul, MN 55113-6324 | 2020-10-21 |
1851999478 | John David Haugmo | Massage Therapist | 125 W Lincoln Ave, Fergus Falls, MN 56537-2152 | 2020-10-15 |
1720686298 | Jessica Marie Quast | Massage Therapist | 601 Central Ave W Ste 102, Saint Michael, MN 55376-9711 | 2020-10-15 |
1861009185 | Miesha Nicole Lewis | Massage Therapist | 3759 Thomas Ave N, Minneapolis, MN 55412-1840 | 2020-09-30 |
1588271928 | Cyarra Monique Swanson | Massage Therapist | 2708 Blaisdell Ave Apt B, Minneapolis, MN 55408-1524 | 2020-09-29 |
1932716347 | Susan Helen Lundquist | Massage Therapist | 5901 Omaha Ave N Ste 115, Stillwater, MN 55082-6477 | 2020-09-29 |
1568078228 | Jasie Barbour | Massage Therapist | 13036 Europa Trl N, Hugo, MN 55038-4410 | 2020-09-18 |
1902411648 | Dakota Lee Hain | Massage Therapist | 1121 Jackson St Ne Ste 119, Minneapolis, MN 55413-1597 | 2020-09-10 |
Find all providers with the same taxonomy |
City | MINNETONKA |
Zip Code | 55345 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.