Jacob Wayne Miller, LMT

NPI #1487256939 in Watauga, Texas

Provider Information

NPI Number
1487256939
Entity Type
Individual
Name
Jacob Wayne Miller, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Nov 10, 2020
Last Updated
Nov 10, 2020

Practice Location

Address
6516 MEADOWLARK LN EAST
State
Texas
ZIP Code
76148-7614
Phone
(817) 683-8796

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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