National Provider Identifier
Zackary David Miller, LMT
Zackary David Miller, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 256-9355.
Profile Overview
- NPI
- 1356829006
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- August 04, 2018
- Last Updated
- August 04, 2018
Practice Location
- 821 Cliff St
- Ithaca, NY 14850-2097
Phone: (607) 256-9355
Mailing Address
- 482 Sheldon RD Apt 8
- Freeville, NY 13068-9773
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1356829006
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Zackary
- Middle Name
- David
- Name Prefix
- Mr.
- Credential
- LMT
- Mailing Street Address
- 482 Sheldon RD Apt 8
- Mailing City
- Freeville
- Mailing State
- NY
- Mailing ZIP Code
- 13068-9773
- Mailing Country
- US
- Mailing Phone
- (607) 242-2404
- Practice Street Address
- 821 Cliff St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2097
- Practice Country
- US
- Practice Phone
- (607) 256-9355
- Enumeration Date
- August 04, 2018
- Last Updated
- August 04, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)