ANDREW JONATHAN MOON LMP
NPI 1356625883
Massage Therapist in Port Angeles, WA
- Individual
- Male
- Massage Therapist
About ANDREW MOON
This page provides the complete NPI Profile along with additional information for Andrew Moon, a provider established in Port Angeles, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1356625883 assigned on October 2011. The practitioner's primary taxonomy code is 225700000X with license number MA 60238191 (WA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1356625883 Verify this NPI
- Provider Name
- ANDREW JONATHAN MOON LMP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 603 E 8TH ST SUITE D PORT ANGELES, WA 98362
- Location Phone
- (360) 452-2934
- Mailing Address
- 303 W BLUFF DR PORT ANGELES, WA 98362
- Mailing Phone
- (360) 477-9235
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-03-2011
- Last Update Date
- 10-03-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA 60238191
- License State
- WA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356625883, enumerated as an "individual" on October 03, 2011.
The provider is located at 603 E 8TH ST SUITE D PORT ANGELES, WA 98362 and the phone number is (360) 452-2934.
Massage Therapist with taxonomy code 225700000X.