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KIM REAVIS MOORE
NPI 1770151110
Massage Therapist in Winston Salem, NC

Active since June 13, 2021
3000 BETHESDA PL STE 701, WINSTON SALEM, NC 27103(336) 399-9764 Get Directions Write a Review

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Reavis Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM REAVIS MOORE (NPI 1770151110) is an individual massage therapist in Winston Salem, North Carolina, licensed in North Carolina (53) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1770151110
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIM REAVIS MOORE
Location Address3000 BETHESDA PL STE 701Winston Salem, NC 27103-3329
Mailing Address217 Ridgeview DrMount Airy, NC 27030-7784 · (336) 399-9764
Phone(336) 399-9764
Sole ProprietorYes
Enumeration DateJune 13, 2021
NPPES CertifiedJune 13, 2021
✔ NPI 1770151110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NC · 53
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.
3000 BETHESDA PL STE 701, Winston Salem, NC 27103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Moore's NPI number?

The NPI number for Kim Moore is 1770151110. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Where is Kim Moore located?

Kim Moore practices at 3000 Bethesda Pl Ste 701, Winston Salem, NC 27103. The listed phone number is (336) 399-9764.

What is Kim Moore's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kim Moore was last updated on June 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.