Mackenzie Moore

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61537603 Issued in WA

Practice address

7406 27TH St W Ste 214
University Place, WA 98466-4632

Phone

(253) 370-2504

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

Yes

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1457196198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N 37TH ST APT EE1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072673",
            "telephone_number": "253-370-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 27TH ST W STE 214",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664632",
            "telephone_number": "253-370-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61537603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Michelle Monroy
• Kevin Douglas Montgomery
• Maureen A Mooney, MD
• Krislyn Moore, LMHCA
• Lisa P Moore, DPT
• Pamela Kim Moore, M.D.
• Wendi Ann Moore, RN
• Krystiana Morales
• Thomas L Morales, D.D.S.
• Mary E. Moran, PHD, MSW, LICSW

• Massage Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.