Provider Demographics
NPI:1992093884
Name:MOORE-HOPKINGINSBERG, CAITLIN (MASSAGE THERAPY)
Entity type:Individual
Prefix:MISS
First Name:CAITLIN
Middle Name:
Last Name:MOORE-HOPKINGINSBERG
Suffix:
Gender:F
Credentials:MASSAGE THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 24TH AVE NW
Mailing Address - Street 2:APT. 417
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3456
Mailing Address - Country:US
Mailing Address - Phone:845-803-7963
Mailing Address - Fax:
Practice Address - Street 1:5711 24TH AVE NW
Practice Address - Street 2:APT. 417
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3456
Practice Address - Country:US
Practice Address - Phone:845-803-7963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist