Whalio Doctors

NPI 1285041772

Raymond Charles Miller, LMT

Practitioner Massage Therapist Montclair, NJ

Practice location

Address
51 Upper Montclair Plz Suite29, Montclair, NJ 07043-1343
Phone
(973) 655-0002
Mailing address
598 Valley Rd Apt3, Montclair, NJ 07043-1843

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 18KT00658300 (NJ)

Registry record

NPI
1285041772
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jul 2014
Record last updated
16 Jul 2014

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.