Individual provider · Type 1 NPI
Keith Moore, CR, LMT
Massage Therapist · Kensington, MD
NPI number
1497401277
Active
Practice location
10410 Kensington Pkwy Ste 207
Kensington, MD 20895-2947
Mailing address
3938 Lantern Dr
Silver Spring, MD 20902-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M04099 (MD) |
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 1497401277
Keith Moore, CR, LMT's National Provider Identifier is 1497401277, issued on Mar 1, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kensington, MD. The record was last updated on Mar 1, 2022.