person
Gina Marie Moore
Massage Therapist in Pocatello, Idaho
NPI 1942771472

Gina Marie Moore is a Massage Therapist based in Pocatello, ID. Gina Marie Moore practices in Pocatello, ID. The NPI Number for Gina Marie Moore is 1942771472 and holds a License No. MAS-3035 (Idaho).

The current practice location address for Gina Marie Moore is 151 N 4Th Ave Ste A, Pocatello, ID and can be reached out via phone at 208-226-4434. You can also correspond with Gina Marie Moore through the mailing address at 1730 W QUINN RD TRLR 420, POCATELLO, ID - 83202-2815 (mailing address contact number: 208-226-4434).

Location: 151 N 4Th Ave Ste A, Pocatello, ID, 83202-2815
person
Provider Profile Details
NPI Number
1942771472
Provider Name
Gina Marie Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
151 N 4Th Ave Ste A, Pocatello, ID, 83202-2815
Phone Number
208-226-4434
Fax Number
Provider Enumeration Date
12/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
151 N 4Th Ave Ste A
City
State
Zip
83201-6300
Phone Number
208-226-4434
Fax Number
person
Provider Business Mailing Address Details
Address
151 N 4Th Ave Ste A
City
State
Zip
83201-6300
Phone Number
208-226-4434
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS-3035 (Idaho)
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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