Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN MICHELLE MOORE, PT, DPT
Deactivated Sole ProprietorKRISTEN MICHELLE MOORE, PT, DPT is a Physical Therapy Assistant healthcare provider located in SAGINAW, Michigan. NPI 1215473178 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAGINAW, MI
This NPI has been deactivated.
The record was deactivated on October 1, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1215473178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2017 (3.707650273224 yrs)
- Last Updated
- Oct 7, 2020
- Deactivated
- Oct 1, 2020
- License
-
5501019591 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
915 N RIVER RDSAGINAW, MI, 486096865Browse MI providers · Browse ZIP 48609
- Phone
- 9897813150
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAGINAW, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. ROSARIO GUMBAN AFANTE | PT | 1689676280 |
| MR. MIRZA ABRAR BAIG | M.S. R.P.T | 1487647913 |
| MR. MANUEL GAJISAN GEPILANO JR. | PT | 1952385270 |
| MR. BENOY JOSEPH | PT | 1346218328 |
| CHRISTINA MARIE BARBA | DPT | 1396705364 |
| GINA FELICIA MILAZZO | PT | 1750322616 |
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.