Individual provider · Type 1 NPI
Amy Moore, LMT
Massage Therapist · Troy, MI
NPI number
1649648874
Active
Practice location
1890 Crooks Rd, Suite 140
Troy, MI 48084-5506
Mailing address
14761 Borgman St
Oak Park, MI 48237-1014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 476042 (MI) |
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 1649648874
Amy Moore, LMT's National Provider Identifier is 1649648874, issued on Sep 3, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Troy, MI. The record was last updated on Jul 28, 2016.