Individual provider · Type 1 NPI
Dustin Randall Moore, LMT
Massage Therapist · Alachua, FL
NPI number
1376376467
Active
Practice location
11086 NW Palmetto Blvd
Alachua, FL 32615-6963
Mailing address
473 Turkey Crk
Alachua, FL 32615-9303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA88614 (FL) |
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 1376376467
Dustin Randall Moore, LMT's National Provider Identifier is 1376376467, issued on Aug 23, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Alachua, FL. The record was last updated on Aug 23, 2024.