Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHIQUETA M MCDONALD-MOORE
Active Sole ProprietorCHIQUETA M MCDONALD-MOORE is a Physical Therapist Assistant healthcare provider located in PORTAGE, Michigan. NPI 1811731987 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · PORTAGE, MI
Registration Details
- NPI Number
- 1811731987
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2024 (2.1641597711283 yrs)
- Last Updated
- Jun 22, 2024
- License
-
27701166199 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
536 ROMENCE RD STE 106PORTAGE, MI, 490243437Browse MI providers · Browse ZIP 49024
- Phone
- 6163661889
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.