LILY MAE MOORE LMT
NPI 1972106102
Massage Therapist in St Petersburg, FL

Active since November 19, 2020
350 79TH AVE N APT 210, ST PETERSBURG, FL 33702(586) 291-0309 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lily Mae Moore Lmt NPPES

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

LILY MAE MOORE LMT (NPI 1972106102) is an individual massage therapist in St Petersburg, Florida, licensed in Florida (MA94304) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1972106102
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLILY MAE MOORECredential: LMT
Location Address350 79TH AVE N APT 210St Petersburg, FL 33702-4456
Mailing Address350 79th Ave N Apt 210St Petersburg, FL 33702-4456 · (586) 291-0309
Sole ProprietorYes
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1972106102 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 FL · MA94304
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.
350 79TH AVE N APT 210, St Petersburg, FL 33702

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lily Moore's NPI number?

The NPI number for Lily Moore is 1972106102. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Lily Moore located?

Lily Moore practices at 350 79th Ave N Apt 210, St Petersburg, FL 33702. The listed phone number is (586) 291-0309.

What is Lily 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 Lily Moore was last updated on November 19, 2020. 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.