Breann Moon, LMT

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

1319 Issued in MT

Legal business name

BREANN MOON, LMT

Practice address

453 6TH Avenue East N
Columbia Falls, MT 59912-3220

Phone

(406) 314-0832

NPI assigned

May 3, 2017

Last updated

May 3, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Breann Marie Moon, LMT, NMT

Title

Licensed Massage Therapist

Phone

(406) 314-0832

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1184150674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 6TH AVENUE EAST N",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123220",
            "telephone_number": "406-314-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 6TH AVENUE EAST N",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123220",
            "telephone_number": "406-314-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREANN MOON, LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "BREANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "406-314-0832",
        "authorized_official_credential": "LMT, NMT"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "MT",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prevention Professional in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Prevention Professional in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.