Individual
LISA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC LMBT
Contact information
Practice address
32 BROADWAY ST STE 240, ASHEVILLE, NC 28801-2959
(704) 254-2759
Mailing address
36 MOUNTAIN BROOK DR, CANDLER, NC 28715-9405
(704) 254-2759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18558
NC
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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