Individual provider · Type 1 NPI

Randall Dean Moser, LMP

Massage Therapist · Lewiston, ID

NPI number 1487945671 Active

Practice location

1018 Idaho St
Lewiston, ID 83501-1938

Call (208) 791-1019 Map

Mailing address

PO Box 1958
Lewiston, ID 83501-1464

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X581598-09 (ID)
Massage Therapist 225700000XMA60111603 (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 1487945671

Randall Dean Moser, LMP's National Provider Identifier is 1487945671, issued on Apr 22, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewiston, ID. The record was last updated on Apr 22, 2011.