Doctor Name: | MS. GINA M TACCONI-MOORE |
NPI Number: | 1013373927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 11673 |
Business Practice Address: | 1 Foundry Industrial Park Building 2 Lowell, MA - 018525149 |
Business Phone Number: | 9785958982 |
Business Fax Number: | |
Mailing Address: | 1 Foundry Industrial Park, Building 2 LOWELL |
State: | MA |
Postal Code: | 018525149 |
Phone Number: | 9785958982 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 11673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |