Individual provider · Type 1 NPI

Craig Allen Moore, LMT

Massage Therapist · La Grande, OR

NPI number 1669083069 Active · reactivated Oct 5, 2022

Practice location

212 Fir St
La Grande, OR 97850-2627

Call (541) 663-4145 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18313 (OR)

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 1669083069

Craig Allen Moore, LMT's National Provider Identifier is 1669083069, issued on Aug 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in La Grande, OR. The record was last updated on Oct 5, 2022.