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Organization
MOORE MASSAGE LLC
Active
Organization
MOORE MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY MOORE LMT (OWNER)
(386) 400-3140
Entity
Organization
Contact information
Practice address
738 SW MAIN BLVD, LAKE CITY, FL 32025-5768
(904) 437-9823
(386) 406-8013
Mailing address
434 SE WALDRON TERRACE, LAKE CITY, FL 32025
(904) 437-9823
(386) 406-8013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114742079
INDIVIDUAL NPI
FL
01
—
1265833149
INDIVIDUAL NPI
FL
01
—
1326856618
INDIVIDUAL NPI
FL
01
—
1821862426
INDIVIDUAL NPI
FL
Enumeration date
02/01/2023
Last updated
03/08/2025
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