MR. Jason Christopher Moore, LMT

NPI #1114689502 in Paonia, Colorado

Provider Information

NPI Number: 1114689502
Entity Type: Individual
Name: MR. Jason Christopher Moore, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 12, 2021
Last Updated: Oct 12, 2021

Practice Location

Address: 41050 LAMBORN MESA RD
City: Paonia
State: Colorado
ZIP Code: 81428-6433
Phone: (267) 670-9535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

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