Gina Moore

NPI 1942771472 · on the registry since 2018 · sole proprietor

Practice

Address: 151 N 4th Ave Ste A
Pocatello, ID 83201
Phone: (208) 226-4434
Organisation at this address: J Gorriceta Pllc
Beacon Therapy Llc
Specialized Family Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-12-10

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