MEDICARE: HUNTER MILLER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MASS.MA.70066523	WA

General Provider Information

NPI Number	:	1811850431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNTER MILLER

Provider Business Mailing Address
First Line	:	1822 BLACK LAKE BLVD SW STE 103
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98512-5628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1822 BLACK LAKE BLVD SW STE 103
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98512-5628
Country	:	US
Telephone Number	:	360-943-0988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ HUNTER MILLER ” Practice Location

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