MR. Zackary David Miller, LMT

NPI #1356829006 in Ithaca, New York

Provider Information

NPI Number: 1356829006
Entity Type: Individual
Name: MR. Zackary David Miller, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 4, 2018
Last Updated: Aug 4, 2018

Practice Location

Address: 821 CLIFF ST
City: Ithaca
State: New York
ZIP Code: 14850-2097
Phone: (607) 256-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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