Healthcare Provider Details

I. General information

NPI: 1790479624
Provider Name (Legal Business Name): LINDSAY S MILLER L.AC, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 N SCOTTSDALE RD
SCOTTSDALE AZ
85257-1369
US

IV. Provider business mailing address

2620 N SCOTTSDALE RD
SCOTTSDALE AZ
85257-1369
US

V. Phone/Fax

Practice location:
  • Phone: 480-747-5223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-010746
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-23136
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: