Individual provider · Type 1 NPI
Jonathan D. Moore, LMT
Massage Therapist · Navasota, TX
NPI number
1508118233
Active
Practice location
434 E Hill St
Navasota, TX 77868-2428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT109187 (TX) |
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.
About NPI 1508118233
Jonathan D. Moore, LMT's National Provider Identifier is 1508118233, issued on Oct 4, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Navasota, TX. The record was last updated on Oct 4, 2012.