Doctor Name: | BRIANA MOORE |
NPI Number: | 1295053346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1061 109th Ave Ne Blaine, MN - 554343846 |
Business Phone Number: | 7632084562 |
Business Fax Number: | |
Mailing Address: | 11524 Jefferson St Ne, BLAINE |
State: | MN |
Postal Code: | 554341805 |
Phone Number: | 6126195316 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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. |