Individual provider · Type 1 NPI

Suzanna Moody, MMP

Massage Therapist · Tyler, TX

NPI number 1669869228 Active

Practice location

704 South Bois Darc Avenue
Tyler, TX 75701

Call (903) 520-8611 Map

Mailing address

704 South Bois Darc
Tyler, TX 75701

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X102131 (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.

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About NPI 1669869228

Suzanna Moody, MMP's National Provider Identifier is 1669869228, issued on Apr 22, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tyler, TX. The record was last updated on Apr 22, 2015.