Individual provider · Type 1 NPI

Jason Christopher Moore, LMT

Massage Therapist · Paonia, CO

NPI number 1114689502 Active

Practice location

41050 Lamborn Mesa Rd
Paonia, CO 81428-6433

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24361 (CO)

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 1114689502

Jason Christopher Moore, LMT's National Provider Identifier is 1114689502, issued on Oct 12, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Paonia, CO. The record was last updated on Oct 12, 2021.