ALISIA ANTONETTE MOORE CMT CNMT MMT NPI 1649930470

NPI Information

NPI: 1649930470
Provider Name: ALISIA ANTONETTE MOORE, CMT, CNMT, MMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
3051 FULTON AVE
SACRAMENTO, CA
ZIP 95821
Phone: (916) 296-7348
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Alisia Antonette Moore, CMT, CNMT, MMT is a massage therapist in Sacramento, CA. The provider is 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. Alisia Antonette Moore, CMT, CNMT, MMT NPI is 1649930470. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3051 FULTON AVE
SACRAMENTO, CA
ZIP 95821-742
Phone: (916) 296-7348

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		88705	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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