MICHAL DESIREE MOORE (NPI# 1598000127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598000127 |
| Entity Type | Individual |
| Full Name | MICHAL DESIREE MOORE |
| Practice Address |
1940 E Walnut Ln Philadelphia PA 19138-1312 |
| Practice Telephone | 2157645782 |
| Practice Fax Number | 2157645782 |
| Mailing Telephone | 2157645782 |
| Mailing Fax Number | 2157645782 |
| Enumeration Date | 2012-12-08 |
| Last Update Date | 2012-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MSG005860 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1940 E WALNUT LN |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19138-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356397913 | Lisa C Overton | Podiatrist | 1940 E Walnut Ln, Philadelphia, PA 19138-1312 | 2006-05-25 |
| 1619923190 | Lisa Carol Overton | Podiatrist | 1940 E Walnut Ln, Philadelphia, PA 19138-1312 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788227 | Clinica Pharmacy Inc | Pharmacy | 7157 Ogontz Ave, Philadelphia, PA 19138 | 2018-11-06 |
| 1184152308 | Prime Choice Dental, Inc | Dentist | 7155 Ogontz Ave, Philadelphia, PA 19138 | 2017-06-01 |
| 1063950376 | Prodigy Home Care | Home Health | 6137 Limekiln Pike, Phiadelphia, PA 19138 | 2017-02-07 |
| 1194275313 | William Gary George Jr. | Marriage & Family Therapist | 7101 N 20th St., Phila, PA 19138 | 2016-10-12 |
| 1790234490 | Gary Downing | Counselor | 5702 Boyer St., Philadelphia, PA 19138 | 2016-09-23 |
| 1093153785 | Northwest Medical & Rehabilitation Center PC | Internal Medicine | 6315 Stenton Ave, Philadelphia, PA 19138 | 2013-06-05 |
| 1902045586 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5301 Chew Ave. B1, Philadelphia, PA 19138 | 2009-02-05 |
| 1588848477 | Tasha Carol Smith | Licensed Practical Nurse | 6947 Cedarpark Avenue, Phiadelphia, PA 19138 | 2007-12-27 |
| 1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
| 1588699706 | Michael D Helzner | Family Medicine | 1909/17 E Washington Lane, Philadelphia, PA 19138 | 2006-07-12 |
| Find all providers in zip 19138 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385953 | Sarah Fox | Massage Therapist | 2600 Wilder St, Philadelphia, PA 19146-4421 | 2020-10-27 |
| 1902413131 | Wylisa Latrice Morgan | Massage Therapist | 2170 Strahle St, Philadelphia, PA 19152-2402 | 2020-10-01 |
| 1891301842 | Regina Ann Griffin | Massage Therapist | 721 West Brown Street, Apt 1r, Philadelphia, PA 19123 | 2020-09-16 |
| 1578178844 | Andre Lamar Wallace | Massage Therapist | 435 W Roosevelt Blvd Apt 2, Philadelphia, PA 19120-4148 | 2020-09-13 |
| 1609480672 | Rachael Thomson Taylor | Massage Therapist | 4011 Linden Ave Fl 1, Philadelphia, PA 19114-3973 | 2020-09-07 |
| 1629694104 | Eun Jung Choi | Massage Therapist | 1500 Chestnut St Lowr Level, Philadelphia, PA 19102-2737 | 2020-06-22 |
| 1457998312 | Tiffany Rei Silliman Cohen | Massage Therapist | 4305 Locust St, Philadelphia, PA 19104-5382 | 2019-12-10 |
| 1528611548 | Lisa Dubroff | Massage Therapist | 2516 Brown St, Philadelphia, PA 19130-1811 | 2019-07-18 |
| 1184288409 | Shykela Renee Smith | Massage Therapist | 7210 Oxford Ave Apt 2m, Philadelphia, PA 19111-4058 | 2019-04-23 |
| 1619435757 | Yasmeen Faruq | Massage Therapist | 6226 Hazel Ave, Philadelphia, PA 19143-2226 | 2019-03-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19138 |
Please comment or provide details below to improve the information on MICHAL DESIREE MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.