Michael P Moore, DPT

NPI #1013427665 in Lakeside, Montana

Provider Information

NPI Number: 1013427665
Entity Type: Individual
Name: Michael P Moore, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 10, 2017
Last Updated: Oct 10, 2017

Practice Location

Address: 306 STONER LOOP STE 3
City: Lakeside
State: Montana
ZIP Code: 59922-8601
Phone: (406) 844-0744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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