Most Relevant Information
Provider Data
| NPI Number: | 1003004516 |
| Provider Name: | TERRI LYNN MOORE LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00018434 |
Most Important Dates
| Enumeration Date: | 10/09/2007 |
| Last Updated: | 10/09/2007 |
Provider Practice Location
4701 AUBURN WAY N
AUBURN
WA
980021312
Practice Location Phone/Fax
| Phone: | 2538502225 |
| Fax: |
Provider Mailing Location
4701 AUBURN WAY N
AUBURN
WA
980021312
Provider Mailing Phone/Fax
| Phone: | 2538502225 |
| Fax: |