Michael M Moore, DPT

NPI #1023683760 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1023683760
Entity Type: Individual
Name: Michael M Moore, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 25, 2021
Last Updated: Sep 21, 2021

Practice Location

Address: 2021 MAHANEY AVE
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-5794
Phone: (918) 458-5115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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