Individual
KALA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
852 W KATHLEEN AVE, COEUR D ALENE, ID 83815-9405
(208) 666-6665
Mailing address
15404 E SPRINGFIELD AVE, SUITE 100, SPOKANE VALLEY, WA 99037
(509) 892-9800
(509) 892-9998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60183873
WA
225700000X
Massage Therapist
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—
Other
Enumeration date
11/16/2010
Last updated
07/22/2020
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