Jennifer Anne Miller, LMT
Massage Therapist in Poulsbo, WA. Individual provider (NPI-1).
NPI number1053965798
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1053965798
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Anne Miller
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2019
- Last updated
- Jul 31, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60984676 | WA | Yes |
Practice location
18657 State Highway 305 Ne Ste 4Poulsbo, WA 98370-9184
Phone 360-779-7800 · Fax 360-779-7060
Mailing address
22305 Sunridge Way NePoulsbo, WA 98370-7789
Phone 360-271-2771
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 69 Massage Therapist providers in Poulsbo · All 821 providers in Poulsbo
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