Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Reavis Moore

Individual provider Massage Therapist · NPI 1770151110

Kim Reavis Moore is a Massage Therapist in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

3000 Bethesda Pl Ste 701
Winston Salem, NC 27103-3329
Phone: (336) 399-9764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 53 (NC)

Record details

NPI number1770151110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2021
Last updated in NPPESJune 13, 2021
Certification dateJune 13, 2021

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