DUSTIN RANDALL MOORE LMT
NPI 1376376467
Massage Therapist in Alachua, FL
- Individual
- Male
- Massage Therapist
About DUSTIN MOORE
This page provides the complete NPI Profile along with additional information for Dustin Moore, a provider established in Alachua, Florida with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1376376467 assigned on August 2024. The practitioner's primary taxonomy code is 225700000X with license number MA88614 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1376376467 Verify this NPI
- Provider Name
- DUSTIN RANDALL MOORE LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11086 NW PALMETTO BLVD ALACHUA, FL 32615
- Location Phone
- (352) 316-3369
- Mailing Address
- 473 TURKEY CRK ALACHUA, FL 32615
- Mailing Phone
- (352) 316-3369
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-23-2024
- Last Update Date
- 08-23-2024
- 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.
- MA88614
- License State
- FL
- 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 1376376467, enumerated as an "individual" on August 23, 2024.
The provider is located at 11086 NW PALMETTO BLVD ALACHUA, FL 32615 and the phone number is (352) 316-3369.
Massage Therapist with taxonomy code 225700000X.