Individual provider · Type 1 NPI
Shawn Taylor Moore, LMT, MMP, RYT-200
Massage Therapist · Irmo, SC
NPI number
1306498191
Active
Practice location
1720 Dutch Fork Rd Ste D
Irmo, SC 29063-8871
Mailing address
PO Box 253
Ballentine, SC 29002-0253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 8625 (SC) |
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.
2 other providers at this address
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About NPI 1306498191
Shawn Taylor Moore, LMT, MMP, RYT-200's National Provider Identifier is 1306498191, issued on Jul 11, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Irmo, SC. The record was last updated on Jul 11, 2019.