Individual
IVA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 HIGHWAY 53, SUITE Y, HUNTSVILLE, AL 35806-4722
(256) 859-0555
(256) 859-4008
Mailing address
3740 HIGHWAY 53, SUITE Y, HUNTSVILLE, AL 35806-4722
(256) 859-0555
(256) 859-4008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1022
AL
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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