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

MS. MELISSA RAE MOORE, PTA

Active Sole Proprietor

MS. MELISSA RAE MOORE, PTA is a Health Maintenance Organization healthcare provider located in ORDWAY, Colorado. NPI 1962772186 is currently active in the NPPES registry. Verify at CMS.

Health Maintenance Organization · ORDWAY, CO

Registration Details

NPI Number
1962772186
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2012 (14.604036604059 yrs)
Last Updated
Jan 4, 2012
Sole Proprietor
Yes

Practice Information

Address
401 IDAHO AVE
ORDWAY, CO, 810631328
Browse CO providers · Browse ZIP 81063
Phone
8773060051
Primary Specialty
Health Maintenance Organization
302R00000X
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.