Krista Moore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18490 Issued in OR

Practice address

289 E Ellendale Ave Ste 601
Dallas, OR 97338-1570

Phone

(503) 751-1460

Fax

(503) 623-2268

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1396193140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 E. ELLENDALE AVE. SUITE 601",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "97338",
            "telephone_number": "503-751-1460",
            "fax_number": "503-623-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE STE 601",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381570",
            "telephone_number": "503-751-1460",
            "fax_number": "503-623-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mitchell, M.S.
• Jacob Mitchell, PA-C
• Alexandra Marta Modzelewska, RN
• Fallon Moore
• Jacob Raymond Moore
• David Mooso, PHARM D
• Jesucita Morales Vasques
• Leanette Morales, PSS, CRM, THW
• Judi Morehead, MA, QMHP
• Weston K Morrill, DMD

• Massage Therapist in Dallas, OR
• Providers in Dallas, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.