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NPI Code Detail

MEDICARE: ALLYSON MOSER LMT

MEDICARE: ALLYSON MOSER LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist
2225700000XMassage Therapist33.025053OH

General Provider Information

NPI Number : 1336848761
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON MOSER LMT
Provider Business Mailing Address
First Line : 215 HART AVE
Second Line :
City : MINERVA
State : OH
Zip : 44657-1430
Country : US
Telephone Number : 330-859-2913
Fax Number :
Provider Business Practice Location Address
First Line : 8949 STATE ROUTE 800 NE
Second Line :
City : MINERAL CITY
State : OH
Zip : 44656-9214
Country : US
Telephone Number : 330-859-2913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/24/2023

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Directions to “ ALLYSON MOSER LMT” Practice Location

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