Individual provider · Type 1 NPI

Andrew Jonathan Moon, LMP

Massage Therapist · Port Angeles, WA

NPI number 1356625883 Active

Practice location

603 E 8th St, Suite D
Port Angeles, WA 98362-6251

Mailing address

303 W Bluff Dr
Port Angeles, WA 98362-9545

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60238191 (WA)

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 1356625883

Andrew Jonathan Moon, LMP's National Provider Identifier is 1356625883, issued on Oct 3, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Angeles, WA. The record was last updated on Oct 3, 2011.