Provider Demographics
NPI:1558604736
Name:MILLER, JANET LEE (BS, LMT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LEE
Last Name:MILLER
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Gender:F
Credentials:BS, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1820 TURNPIKE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6398
Mailing Address - Country:US
Mailing Address - Phone:978-688-6181
Mailing Address - Fax:978-688-5120
Practice Address - Street 1:1820 TURNPIKE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6398
Practice Address - Country:US
Practice Address - Phone:978-688-6181
Practice Address - Fax:978-688-5120
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2129225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist