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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOOSE PHYSICAL THERAPY, PLLC

Active Organization

MOOSE PHYSICAL THERAPY, PLLC is a Physical Therapy Assistant organization located in PEORIA, Illinois. NPI 1053927640 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PEORIA, IL

Registration Details

NPI Number
1053927640
Provider Type
Organization
NPI Issued
Sep 18, 2020 (5.9095108499276 yrs)
Last Updated
Oct 31, 2021

Practice Information

Address
2000 W PIONEER PKWY STE 22
PEORIA, IL, 616155805
Browse IL providers · Browse ZIP 61615
Phone
3096700853
Fax
3092795211
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.