Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN MOORE
ActiveSUSAN MOORE is a Physical Therapy Assistant healthcare provider located in CALDWELL, Idaho. NPI 1225298169 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CALDWELL, ID
Registration Details
- NPI Number
- 1225298169
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2008 (18.175704937675 yrs)
- Last Updated
- Aug 30, 2018
- Licenses
-
PTA-220 (ID)PT-5383 (ID)
Practice Information
- Address
-
2814 S INDIANA AVECALDWELL, ID, 83605Browse ID providers · Browse ZIP 83605
- Phone
- 2084590808
- Fax
- 2084596668
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CALDWELL, ID
| Name | Credential | NPI |
|---|---|---|
| MR. SEAN R WEATHERSTON | P.T. | 1073596136 |
| MR. STEVEN RICHARD MOORE | MPT | 1417914755 |
| MR. DENNIS L. BALMER | RPT | 1912090416 |
| JEFFREY A THOMASON | PT | 1538253752 |
| MR. BRIAN RICHARD TRUDEAU | P.T. | 1235207937 |
| DR. BRIAN W LEE | DPT, OCS | 1043365323 |
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.