Individual provider · Type 1 NPI
Maureen Margaret Moore, MT
Massage Therapist · Portage, MI
NPI number
1316240609
Active
Practice location
1525 Greenview Ave
Portage, MI 49024-3322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7529 (CA) |
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 1316240609
Maureen Margaret Moore, MT's National Provider Identifier is 1316240609, issued on Dec 8, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portage, MI. The record was last updated on Dec 8, 2010.