Healthcare Provider Details

I. General information

NPI: 1114836996
Provider Name (Legal Business Name): ERMA N MILLER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6843 MAIN ST
BONNERS FERRY ID
83805-8552
US

IV. Provider business mailing address

681 STORMY LN
SANDPOINT ID
83864-8706
US

V. Phone/Fax

Practice location:
  • Phone: 208-627-1243
  • Fax:
Mailing address:
  • Phone: 208-627-1243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number9981412
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: