Individual
MARQUITA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 E 15TH ST STE 117, FORT WORTH, TX 76102-6522
(682) 305-4882
Mailing address
950 HENDERSON ST APT 1206, FORT WORTH, TX 76102-3586
(682) 305-4882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT131029
TX
Other
Enumeration date
12/10/2020
Last updated
01/31/2023
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