NPI 1003552910

Samuel Robert Miller, LMT

Practitioner Massage Therapist Coloma, MI

Practice location

Address: 193 N Paw Paw St, Coloma, MI 49038-9792
Phone: (850) 313-1869
Mailing address: 913 Forest Park Ave, Watervliet, MI 49098-9316

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501017099 (MI)

Other Massage Therapist providers in Michigan →

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 032972 (NY)

Registry record

NPI: 1003552910
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2022
Record last updated: 16 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.