Scott Robert Moore, L.M.T.

NPI #1316182678 in Ivins, Utah

Provider Information

NPI Number: 1316182678
Entity Type: Individual
Name: Scott Robert Moore, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Dec 15, 2008
Last Updated: Dec 15, 2008

Practice Location

Address: 565 S 250 E
City: Ivins
State: Utah
ZIP Code: 84738-5010
Phone: (435) 674-1167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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