Individual provider · Type 1 NPI

Stace Lee Elizabeth Moore, LMT

Massage Therapist · Wasilla, AK

NPI number 1669035903 Active

Practice location

436 N Main St
Wasilla, AK 99654-7018

Call (907) 376-8020 Map

Fax (907) 376-8017

Mailing address

PO Box 876268
Wasilla, AK 99687-6268

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X143308 (AK)

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 1669035903

Stace Lee Elizabeth Moore, LMT's National Provider Identifier is 1669035903, issued on Apr 22, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wasilla, AK. The record was last updated on Apr 22, 2019.