STACIE JO MILLER


Address: 1640 Lancaster Dr Ne, Salem, OR 97301-1922
Phone: 5033397351

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 19591 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR OBMT 19591 01

Other Providers STACIE MILLER

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

Office Location

Street Address 1640 LANCASTER DR NE
City SALEM
State OR
Zip Code 97301-1922

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

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.

Providers in the same taxonomy and city

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

Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

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.

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