Individual
TERRI HARRISON MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
360 TESCONI CIR STE C, SANTA ROSA, CA 95401-4677
(707) 709-8574
Mailing address
8471 LIBERTY AVE, ROHNERT PARK, CA 94928-4516
(707) 709-8574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
44387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44387
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
07/25/2017
Last updated
03/17/2018
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