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

MICHAEL SHANE MOORE, LPTA

Active Sole Proprietor

MICHAEL SHANE MOORE, LPTA is a Physical Medicine & Rehabilitation healthcare provider located in MONTGOMERY, Alabama. NPI 1972115582 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · MONTGOMERY, AL

Registration Details

NPI Number
1972115582
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2020 (5.8473584804941 yrs)
Last Updated
Aug 17, 2020
License
PTA9712 (AL)
Sole Proprietor
Yes

Practice Information

Address
2757 VANDY CT
MONTGOMERY, AL, 361101339
Browse AL providers · Browse ZIP 36110
Phone
3346691430
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in MONTGOMERY, AL

Name Credential NPI
JEFFRY G PIROFSKY DO 1659318004
DR. WILLIAM N ROGERS III MD 1356455547
SHALINI P BHAMBHVANI M.D 1750493219
DR. JEFFREY K ENG M.D. 1497852453
MS. MELISSA JENNINGS 1689769747
MS. TARA LEWIS FITZPATRICK 1780779850
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.