Individual
KEVIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
506 OHIO AVE, NORTH WILDWOOD, NJ 08260-3023
(917) 607-7016
Mailing address
506 OHIO AVE, NORTH WILDWOOD, NJ 08260-3023
(917) 607-7016
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010965
NY
225700000X
Massage Therapist
010975
NY
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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