MR. Gary Moore, PTA

NPI #1407151756 in Newton, Kansas

Provider Information

NPI Number: 1407151756
Entity Type: Individual
Name: MR. Gary Moore, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 18, 2011
Last Updated: Jan 18, 2011

Practice Location

Address: 200 SW 14TH ST
City: Newton
State: Kansas
ZIP Code: 67114-4701
Phone: (316) 283-4770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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