Individual provider · Type 1 NPI

Kevin Moore I, LMT

Massage Therapist · Portland, OR

NPI number 1720114044 Active

Practice location

2617 NW Thurman St, Suite 3
Portland, OR 97210-2202

Call (503) 224-4599 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7647 (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 1720114044

Kevin Moore I, LMT's National Provider Identifier is 1720114044, issued on Feb 23, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.