MARDELL MILLER LMT
NPI 1992242366
Massage Therapist in Sierra Vista, AZ

Active since January 24, 2017
2606 GOLDEN EAGLE DR, SIERRA VISTA, AZ 85650(520) 227-7547 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About MARDELL MILLER

This page provides the complete NPI Profile along with additional information for Mardell Miller, a provider established in Sierra Vista, Arizona with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1992242366 assigned on January 2017. The practitioner's primary taxonomy code is 225700000X with license number MT-18948 (AZ). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1992242366 Verify this NPI
Provider Name
MARDELL MILLER LMT
Gender
Female
Entity Type
Individual
Location Address
2606 GOLDEN EAGLE DR SIERRA VISTA, AZ 85650
Location Phone
(520) 227-7547
Mailing Address
2606 GOLDEN EAGLE DR SIERRA VISTA, AZ 85650
Mailing Phone
(520) 227-7547
Is Sole Proprietor?
Yes
Enumeration Date
01-24-2017
Last Update Date
01-24-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
MT-18948
License State
AZ
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992242366, enumerated as an "individual" on January 24, 2017.

The provider is located at 2606 GOLDEN EAGLE DR SIERRA VISTA, AZ 85650 and the phone number is (520) 227-7547.

Massage Therapist with taxonomy code 225700000X.