Individual provider · Type 1 NPI

Angela M. Moore, PTA, LMT

Massage Therapist · Lewiston, ME

NPI number 1053444729 Active

Practice location

33 Roger St, Genesis Rehab At Marshwood Healthcare
Lewiston, ME 04240-3328

Call (207) 784-0108 Map

Mailing address

23 Earle St
Lisbon Falls, ME 04252-1923

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XPA2550 (ME)
Massage Therapist Primary 225700000XMT1170 (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 1053444729

Angela M. Moore, PTA, LMT's National Provider Identifier is 1053444729, issued on Mar 13, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewiston, ME. The record was last updated on Sep 11, 2025.