Individual provider · Type 1 NPI

Queenasia Simone Moore, LMT

Massage Therapist · Bronx, NY

NPI number 1083339071 Active

Practice location

2861 Exterior St, Apt 5F
Bronx, NY 10463-7140

Mailing address

2861 Exterior St Apt 5F
Bronx, NY 10463-7140

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X033155 (NY)

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 1083339071

Queenasia Simone Moore, LMT's National Provider Identifier is 1083339071, issued on Oct 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bronx, NY. The record was last updated on Oct 11, 2022.