KIM REAVIS MOORE
NPI 1770151110
Massage Therapist in Winston Salem, NC
- Individual
- Female
- Massage Therapist
About KIM MOORE
This page provides the complete NPI Profile along with additional information for Kim Moore, a provider established in Winston Salem, North Carolina with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1770151110 assigned on June 2021. The practitioner's primary taxonomy code is 225700000X with license number 53 (NC). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1770151110 Verify this NPI
- Provider Name
- KIM REAVIS MOORE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3000 BETHESDA PL STE 701 WINSTON SALEM, NC 27103
- Location Phone
- (336) 399-9764
- Mailing Address
- 217 RIDGEVIEW DR MOUNT AIRY, NC 27030
- Mailing Phone
- (336) 399-9764
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-13-2021
- Last Update Date
- 06-13-2021
- 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.
- 53
- License State
- NC
- 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 1770151110, enumerated as an "individual" on June 13, 2021.
The provider is located at 3000 BETHESDA PL STE 701 WINSTON SALEM, NC 27103 and the phone number is (336) 399-9764.
Massage Therapist with taxonomy code 225700000X.
