Individual provider · Type 1 NPI

Lily Mae Moore, LMT

Massage Therapist · St. Petersburg, FL

NPI number 1972106102 Active

Practice location

350 79th Ave N Apt 210
St. Petersburg, FL 33702-4456

Call (586) 291-0309 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA94304 (FL)

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.

Other massage therapist providers in St. Petersburg

See all in St. Petersburg →

About NPI 1972106102

Lily Mae Moore, LMT's National Provider Identifier is 1972106102, issued on Nov 19, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 19, 2020.