MR. Jonathan D Moore, LMT

NPI #1508118233 in Navasota, Texas

Provider Information

NPI Number
1508118233
Entity Type
Individual
Name
MR. Jonathan D Moore, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Oct 4, 2012
Last Updated
Oct 4, 2012

Practice Location

Address
434 E HILL ST
State
Texas
ZIP Code
77868-2428
Phone
(832) 248-5677

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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