NPI 1770533705 · live from the CMS NPI Registry
Patrick Miller, LMT
Massage Therapist in Overland Park, KS. National Provider Identifier 1770533705, active.
NPI record
| NPI | 1770533705 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7520 Shawnee Mission Pkwy # C15, Overland Park, KS 66202 |
| Practice phone | 816-842-9589 |
| Enumerated | May 11, 2006 |
| Last updated | August 14, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 4005 (LA) |
| Massage Therapist | 225700000X | 2003030459 (MO) |
| Massage Therapist primary | 225700000X | — (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.