Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKI L MOON, LMT
Active Sole ProprietorJACKI L MOON, LMT is a Specialist healthcare provider located in LAKE STEVENS, Washington. NPI 1629273008 is currently active in the NPPES registry. Verify at CMS.
Specialist · LAKE STEVENS, WA
Registration Details
- NPI Number
- 1629273008
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2007 (18.97629819036 yrs)
- Last Updated
- Feb 2, 2021
- License
-
MA00004663 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10519 20TH ST. SESUITE # 1LAKE STEVENS, WA, 98258Browse WA providers · Browse ZIP 98258
- Phone
- 4253974900
- Fax
- 4253976900
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LAKE STEVENS, WA
| Name | Credential | NPI |
|---|---|---|
| AMY ANDERSON | BA, LMP | 1275642936 |
| MS. ULLA L JOHNSON | L.M.P. | 1114079787 |
| LYNN A. JOHNSON | LMP | 1427275684 |
| MISS KRISTY ANN LIPKA | LMP | 1497927503 |
| JENNIFER RUTH BERGQUAM | LMP | 1437395944 |
| SARAH J DIXEN | MASSAGE THERAPIST | 1356581474 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.