P Praxis·MD
● Active Type 1 · Individual

Kala Marie Moore, LMP

Specialist·Coeur D Alene, ID· NPI 1619278082 · Enumerated 2010 · 15 years on NPI
Moore is 1 of 26 specialist providers in Coeur D Alene and 1 of 305 in Idaho.
NPI age
15 years
Enumerated 2010-11-16
Primary specialty
Specialist
Plus 1 subspecialty
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 305 active specialist providers in Idaho.

NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 11% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Practice location
852 W Kathleen Ave
Coeur D Alene, ID 838159405
📞 2086666665
Mailing address
15404 E Springfield Ave, Suite 100
Spokane Valley, WA 99037
📞 5098929800fax 5098929998

Additional practice locations

1 secondary location on file with NPPES.

Location 2
15404 E Springfield Ave, Suite 100
Spokane Valley, WA 99037
📞 5098929800fax 5098929998

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    WA license #MA60183873 taxonomy 174400000X
  • Massage Therapist
    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
    taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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