Individual provider · Type 1 NPI
Alisia Antonette Moore, LMT, CMT, CNMT, MMT
Massage Therapist · Sacramento, CA
NPI number
1649930470
Active
Practice location
3160 Arden Way
Sacramento, CA 95825-3700
Mailing address
6090 S Land Park Dr Apt 41
Sacramento, CA 95822-3344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 88705 (CA) |
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 1649930470
Alisia Antonette Moore, LMT, CMT, CNMT, MMT's National Provider Identifier is 1649930470, issued on Dec 21, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 3, 2025.