Vicki J Moore LMT

NPI 1790989085 - Massage Therapist - 225700000X

NPI Details
NPI 1790989085
Gender Female
Enumeration Date 06/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
199 NW DEER ST
PRINEVILLE OR, 97754-1701, US
Phone (541) 977-4006
Fax
Business Location
851 NE NICKERNUT AVE
REDMOND OR, 97756-7624, US
Phone (541) 977-4006
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 13566
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According to our database, Mrs. Vicki J Moore LMT NPI is 1790989085, taxonomy code is 225700000X and license number is 13566, license state is located at Oregon. Vicki J Moore LMT physically located at 199 Nw Deer St, Prineville OR, 97754-1701. NPI Number Vicki J Moore LMT has the Individual type.

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1790989085 NPI number is provided on an as is basis without warranty of any kind. 1790989085 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki J Moore LMT are for informational purposes only.