Individual provider · Type 1 NPI
Brenda Jo Moore, LMT
Massage Therapist · Medford, OR
NPI number
1184865628
Active
Practice location
3560 National Dr, Suite 100
Medford, OR 97504-4008
Fax (541) 734-8802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 3361 (OR) |
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 1184865628
Brenda Jo Moore, LMT's National Provider Identifier is 1184865628, issued on Mar 12, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Mar 12, 2009.