Individual provider · Type 1 NPI

Gina Marie Moore

Massage Therapist · Pocatello, ID

NPI number 1942771472 Active

Practice location

151 N 4th Ave Ste A
Pocatello, ID 83201-6300

Call (208) 226-4434 Map

Mailing address

1730 W Quinn Rd Trlr 420
Pocatello, ID 83202-2815

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-3035 (ID)

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 1942771472

Gina Marie Moore's National Provider Identifier is 1942771472, issued on Dec 10, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pocatello, ID. The record was last updated on Dec 10, 2018.