MRS. Vicki J Moore, LMT
NPI #1790989085 in Prineville, Oregon
Provider Information
- NPI Number
- 1790989085
- Entity Type
- Individual
- Name
- MRS. Vicki J Moore, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 199 NW DEER ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1701
- Phone
- (541) 977-4006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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