Laura Moog, LMT

NPI 1851537484 · on the registry since 2009 · sole proprietor

Practice

Address: 2005 Ironwood Pkwy Ste 222
Coeur D Alene, ID 83814
Phone: (208) 691-2497
Fax: (208) 635-4222
Organisation at this address: August Home Health Inc
Copper Creek Medical Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho