STACIE JO MILLER
Massage Therapist

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

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
Gender Female
Credential LMT
Practice Address 1640 Lancaster Dr Ne
Salem
OR 97301-1922
Practice Telephone 5033397351
Mailing Address 565 19th St Se
Salem
OR 97301-8892
Mailing Telephone 5033832319
Enumeration Date 2019-06-07
Last Update Date 2019-06-07
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group 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 Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
SOAP URL Salem (city) 1640 Lancaster Dr Ne, Salem, OR 973011922 Health Information Exchange (HIE) CSV

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 · General Practice 1640 Lancaster Dr Ne, Salem, OR 97301 2006-07-04
1679108088 Anna Gekelman · Anna Braziel Massage Therapist 1640 Lancaster Dr Ne, Salem, OR 97301-1922 2020-03-05
1740765056 American Proactive Chiropractic Rehabilitation Clinic · American Proactive Chiropractic Rehabilitation Clinic Chiropractor · Rehabilitation 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 · General Practice 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 · General Practice 1640 Lancaster Dr Ne, Salem, OR 97301-1922 2007-07-31

Providers in the same zip code prefix

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 · Clinical Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavior Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse · Addiction (Substance Use Disorder) 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
1578159505 Jennie R Morrow-Lopez 170 Liberty St Se, Salem, OR 97301-3506 2020-12-14
1437766953 Michael Amador 95 Stiles Rd Ste 107, Salem, NH 03079-4805 2020-09-29
1528673464 Brandy Mckeever 156 Front St Ne, Salem, OR 97301-3479 2020-09-08
1114531274 Michelle Nicole Kellogg-Satrum 1900 Hines St Se Ste 110, Salem, OR 97302-1356 2020-09-04
1518579481 Stephanie Shambaugh 456 State St Ste 110, Salem, OR 97301-3619 2020-08-20
1770115230 Angela Aloisi 1236 W Main St, Salem, VA 24153-4726 2020-02-12
1245874445 Jessica Schutt 156 Front St Ne Ste 100, Salem, OR 97301-3479 2019-10-30
1174185391 Jennifer Plemons 2685 Gilbert St S, Salem, OR 97302-5853 2019-07-08
1811559305 Jordan D Hilbert 2110 Berry St Se, Salem, OR 97302-2108 2019-07-03
1942865167 Pure Massage & Spa LLC 4155 Rickey St Se Ste 122, Salem, OR 97317-6903 2019-05-02
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97301

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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.