Individual
ANDREA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12308 E BROADWAY AVE STE 4, SPOKANE VALLEY, WA 99216-2920
(509) 795-0165
Mailing address
PO BOX 1082, SPOKANE, WA 99210-1082
(509) 795-0165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60968028
WA
Other
Enumeration date
09/17/2019
Last updated
10/29/2020
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