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Kim Reavis Moore
Massage Therapist in Winston Salem, North Carolina
NPI 1770151110

Kim Reavis Moore is a Massage Therapist based in Mount Airy, NC. Kim Reavis Moore practices in Winston Salem, NC. The NPI Number for Kim Reavis Moore is 1770151110 and holds a License No. 53 (North Carolina).

The current practice location address for Kim Reavis Moore is 3000 Bethesda Pl Ste 701, Winston Salem, NC and can be reached out via phone at 336-399-9764.

Location: 3000 Bethesda Pl Ste 701, Winston Salem, NC, 27030-7784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770151110
Provider Name
Kim Reavis Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
3000 Bethesda Pl Ste 701, Winston Salem, NC, 27030-7784
Phone Number
336-399-9764
Fax Number
Provider Enumeration Date
06/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3000 Bethesda Pl Ste 701
City
Winston Salem
State
North Carolina
Zip
27103-3329
Phone Number
336-399-9764
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Bethesda Pl Ste 701
City
Winston Salem
State
North Carolina
Zip
27103-3329
Phone Number
336-399-9764
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
53 (North Carolina)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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