Individual provider · Type 1 NPI

Vicki J. Moore, LMT

Massage Therapist · Prineville, OR

NPI number 1790989085 Active

Practice location

199 NW Deer St
Prineville, OR 97754-1701

Call (541) 977-4006 Map

Mailing address

851 NE Nickernut Ave
Redmond, OR 97756-7624

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13566 (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 1790989085

Vicki J. Moore, LMT's National Provider Identifier is 1790989085, issued on Jun 12, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Prineville, OR. The record was last updated on Jul 8, 2007.