MEDICARE: MELISSA MILLER MEDICAL MASSAGE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172M00000X	Mechanotherapist
2	174400000X	Specialist
3	225400000X	Rehabilitation Practitioner
4	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1710619762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELISSA MILLER MEDICAL MASSAGE LLC

Provider Business Mailing Address
First Line	:	231 W GIACONDA WAY STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-4341
Country	:	US
Telephone Number	:	520-858-0350
Fax Number	:	520-448-0819

Provider Business Practice Location Address
First Line	:	231 W GIACONDA WAY STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-4341
Country	:	US
Telephone Number	:	520-858-0350
Fax Number	:	520-448-0819

Authorized Official
Title or Position	:	OWNER/LMT
Name	:	MELISSA MILLER
Credential	:	LMT
Telephone Number	:	520-858-0350

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	08/16/2025

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