Teressa S Moore, LMT

NPI #1053507186 in Keizer, Oregon

Provider Information

NPI Number: 1053507186
Entity Type: Individual
Name: Teressa S Moore, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 21, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 6395 KEIZER STATION BLVD NE
Address 2: STE 103
City: Keizer
State: Oregon
ZIP Code: 97303-2305
Phone: (503) 589-1597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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