Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336734821 Individual Practitioner Female Practitioner

Mckellyn Miller

Massage Therapist • Sandpoint, ID

Professional Overview & Biography Verified Profile Summary

Mckellyn Miller is a registered healthcare professional specializing in Massage Therapist in Sandpoint, ID. Practice services are available at 1315 HIGHWAY 2 STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1315 Highway 2 Ste 2

Sandpoint, ID 838642724

Telephone 2082633211
Associated Practice Facility / Clinic
🏢 Ckam Rejuvenation Center Llc Facility NPI 1699309963

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Sandpoint, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Sandpoint, ID (779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-05
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License ID MAS-4214

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Chelsea Redwood , LMT

Massage Therapist

NPI 1023684222

Licensed Massage Therapist

Jeannette Wilcox , CMT

Massage Therapist

NPI 1225278112

Certified Massage Therapist

Elizabeth Cope , LMT

Massage Therapist

NPI 1245088095

Licensed Massage Therapist

Linsey Kucherry

Massage Therapist

NPI 1346955259
Michelle Poelstra

Registered Nurse - General Practice

NPI 1508716283
Nova Layton

Massage Therapist

NPI 1790306751

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2021

Registered at 1315 HIGHWAY 2 STE 2, SANDPOINT, ID 838642724 (Tel: 2082633211)

📍
Updated Business Mailing Address March 05, 2021

Registered at 320 CROOKED EAR DR, SANDPOINT, ID 838649477 (Tel: 2085973760)

👤
Provider Name / Credentials Updated March 05, 2021

Recorded as MCKELLYN MILLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Massage Therapist (License #MAS-4214 in ID)

🟢
Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336734821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: March 05, 2021
Sole Proprietor: No

Mailing Address

320 Crooked Ear Dr

Sandpoint, ID 838649477

Phone: 2085973760

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.