STACIE JO MILLER (NPI# 1700445368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700445368 |
Entity Type | Individual |
Full Name | STACIE JO MILLER |
Credential | LMT |
Practice Address |
1640 Lancaster Dr Ne Salem OR 97301-1922 |
Mailing Address |
565 19th St Se Salem OR 97301-8892 |
Practice Telephone | 5033397351 |
Mailing Telephone | 5033832319 |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 19591 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OBMT | 19591 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750654877 | Stacie Miller Miller | Occupational Therapist | 4911 S 149th St, Omaha, NE 68137-1452 | 2012-02-21 |
1225024821 | Stacie Marie Miller | Pharmacist | Rr 2 Box 247, Stroud, OK 74079-9652 | 2005-09-20 |
Street Address |
1640 LANCASTER DR NE |
City | SALEM |
State | OR |
Zip Code | 97301-1922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104856020 | Bruce William Boer | Dentist | 1640 Lancaster Dr Ne, Salem, OR 97301 | 2006-07-04 |
1679108088 | Anna Gekelman | Massage Therapist | 1640 Lancaster Dr Ne, Salem, OR 97301-1922 | 2020-03-05 |
1740765056 | American Proactive Chiropractic Rehabilitation Clinic | Chiropractor | 1640 Lancaster Dr Ne, Salem, OR 97301-1922 | 2018-10-02 |
1194184028 | Steven Hope | Mechanotherapist | 1640 Lancaster Dr Ne, Salem, OR 97301 | 2016-02-20 |
1609287143 | Daniel Adair | Dentist | 1640 Lancaster Dr Ne, Salem, OR 97301-1922 | 2014-05-19 |
1225375207 | Lancaster Dental, LLC | Dentist | 1640 Lancaster Dr Ne, Salem, OR 97301-1922 | 2013-01-10 |
1972785921 | Michael Thomas Logiudice | Chiropractor | 1640 Lancaster Dr Ne, Salem, OR 97301-1922 | 2007-12-01 |
1528258910 | Cory M Smith | Dentist | 1640 Lancaster Dr Ne, Salem, OR 97301-1922 | 2007-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
Find all providers in zip 97301 |
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 |
---|---|---|---|---|
1437766953 | Michael Amador | Massage Therapist | 95 Stiles Rd Ste 107, Salem, NH 03079-4805 | 2020-09-29 |
1528673464 | Brandy Mckeever | Massage Therapist | 156 Front St Ne, Salem, OR 97301-3479 | 2020-09-08 |
1114531274 | Michelle Nicole Kellogg-satrum | Massage Therapist | 1900 Hines St Se Ste 110, Salem, OR 97302-1356 | 2020-09-04 |
1518579481 | Stephanie Shambaugh | Massage Therapist | 456 State St Ste 110, Salem, OR 97301-3619 | 2020-08-20 |
1770115230 | Angela Aloisi | Massage Therapist | 1236 W Main St, Salem, VA 24153-4726 | 2020-02-12 |
1245874445 | Jessica Schutt | Massage Therapist | 156 Front St Ne Ste 100, Salem, OR 97301-3479 | 2019-10-30 |
1174185391 | Jennifer Plemons | Massage Therapist | 2685 Gilbert St S, Salem, OR 97302-5853 | 2019-07-08 |
1811559305 | Jordan D Hilbert | Massage Therapist | 2110 Berry St Se, Salem, OR 97302-2108 | 2019-07-03 |
1942865167 | Pure Massage & Spa LLC | Massage Therapist | 4155 Rickey St Se Ste 122, Salem, OR 97317-6903 | 2019-05-02 |
1942767553 | Crystal Vanpelt | Massage Therapist | 2111 Front St Ne Bldg 3, Salem, OR 97301-0765 | 2019-03-01 |
Find all providers in SALEM |
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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.