Individual provider · Type 1 NPI

Samantha Danyelle Moore, LMT

Massage Therapist · Ellsworth, ME

NPI number 1053028092 Active

Practice location

108 Main St
Ellsworth, ME 04605-1919

Call (207) 619-4886 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT7273 (ME)

Massage Therapist: 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.

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About NPI 1053028092

Samantha Danyelle Moore, LMT's National Provider Identifier is 1053028092, issued on Oct 31, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ellsworth, ME. The record was last updated on Oct 31, 2022.