Individual provider · Type 1 NPI

Krista Moore, LMT

Massage Therapist · Dallas, OR

NPI number 1396193140 Active

Practice location

289 E Ellendale Ave Ste 601
Dallas, OR 97338-1570

Call (503) 751-1460 Map

Fax (503) 623-2268

Mailing address

289 E. Ellendale Ave. Suite 601
Dallas, OR 97338

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18490 (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.

3 other providers at this address

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About NPI 1396193140

Krista Moore, LMT's National Provider Identifier is 1396193140, issued on Jun 1, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, OR. The record was last updated on Jun 1, 2016.