Individual
ANGELA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., R.M.T
Contact information
Practice address
422 4TH ST, ALAMOSA, CO 81101-2673
(608) 698-0543
Mailing address
8280 CANON CITY RD, BLANCA, CO 81123-9126
(608) 698-0543
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0015115
CO
225700000X
Massage Therapist
4268-146
WI
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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