Doctor Name: | SAMI MOORE |
NPI Number: | 1285030353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA60513974 |
Business Practice Address: | 10004 204th Ave E Suite 3100 Bonney Lake, WA - 983916539 |
Business Phone Number: | 2538637510 |
Business Fax Number: | 2538635970 |
Mailing Address: | Po Box 2170, SUMNER |
State: | WA |
Postal Code: | 983900480 |
Phone Number: | 2538402313 |
Fax Number: | 2538406340 |
NPI Enumeration Date: | 11/17/2014 |
NPI Last Update Date: | 11/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60513974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |