MOORE MASSAGE LLC NPI 1558067579

NPI Information

  • NPI: 1558067579
  • Provider Name: MOORE MASSAGE LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 738 SW MAIN BLVD
    LAKE CITY, FL
    ZIP 32025
  • Phone: (904) 437-9823

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NPI Details

MOORE MASSAGE LLC is a massage therapist in Lake City, FL. 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. MOORE MASSAGE LLC NPI is 1558067579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

738 SW MAIN BLVD
LAKE CITY, FL
ZIP 32025-768
Phone: (904) 437-9823
Fax: (386) 406-8013

The provider's authorized official is Kasey Moore .
The authorized official title is Owner and has the following contact phone number (386) 400-3140.

The enumeration date for this NPI number is 2/1/2023 and was last updated on 3/8/2025.

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
1225700000XMassage TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114742079OTHERFLORIDAINDIVIDUAL NPI
21821862426OTHERFLORIDAINDIVIDUAL NPI
31265833149OTHERFLORIDAINDIVIDUAL NPI
41326856618OTHERFLORIDAINDIVIDUAL NPI

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: 11/21/2025

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