Individual
MISS CHELSEA HANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
221 E WALNUT ST, DOUGLAS, WY 82633-2148
(130) 735-8524
Mailing address
221 E WALNUT ST, DOUGLAS, WY 82633-2148
(130) 735-8524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WY
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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