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NPI 1881490944 · live from the CMS NPI Registry

Alexandra Danielle Moore

Massage Therapist in Gulfport, MS. National Provider Identifier 1881490944, active.

NPI record

NPI1881490944 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location368 Courthouse Rd Ste D, Gulfport, MS 39507
Practice phone228-860-9539
Mailing address980 Courthouse Rd Apt 1012, Gulfport, MS 39507
EnumeratedFebruary 20, 2025
Last updatedMarch 11, 2025
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X2021 (MS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.