Individual
KATHY ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1318 WAYNE MEMORIAL DR STE B, GOLDSBORO, NC 27534-2255
(919) 735-7447
(919) 735-7402
Mailing address
120 PERRY DR, GOLDSBORO, NC 27530-8520
(919) 736-8503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1128
NC
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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