| Gina Marie Moore, | |
|
151 N 4th Ave Ste A, Pocatello, ID 83201-6300 | |
| (208) 226-4434 | |
| Not Available |
| Full Name | Gina Marie Moore |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 151 N 4th Ave Ste A, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942771472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MAS-3035 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Marie Moore, 1730 W Quinn Rd Trlr 420, Pocatello, ID 83202-2815 Ph: (208) 226-4434 | Gina Marie Moore, 151 N 4th Ave Ste A, Pocatello, ID 83201-6300 Ph: (208) 226-4434 |
Traci Deniece White, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 E Clark St Ste B8, Pocatello, ID 83201 Phone: 208-646-8257 | |
Melanie Blackburn, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Flandro Dr, Pocatello, ID 83202 Phone: 208-233-2248 | |
Amber Koompin, LMT, MMP, CIMI Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 W Center St Ste L201, Pocatello, ID 83204 Phone: 208-244-0941 | |
Kristy Naylor Lawson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W Center St, Pocatello, ID 83204 Phone: 801-556-9482 | |
Ana Raya, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Flandro Dr, Suite 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Leah White, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Flandro Dr, Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 | |
Corwin Allen West, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Deon Dr Ste A, Pocatello, ID 83201 Phone: 208-604-3159 |