Kevin Dwayne Moore in Coeur D Alene - Physical Therapy Assistant
Kevin Dwayne Moore - NPI 1124286109
Kevin Dwayne Moore is a Physical Therapy Assistant in Coeur D Alene, Idaho. Kevin Dwayne Moore practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kevin Dwayne Moore is 1124286109. The last update date is 2008-05-27.
Kevin Dwayne Moore's current location address is 500 W Aqua Ave, Coeur D Alene, Idaho. You can contact this provider via phone number 2087621122. The mailing address for Kevin Dwayne Moore is 500 W Aqua Ave, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Dwayne Moore |
|---|---|
| Address | 500 W Aqua Ave, Coeur D Alene, Idaho |
| Phone Number | 2087621122 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1124286109 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 500 W Aqua Ave |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838157764 |
| Phone Number | 2087621122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA344 |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Kevin Dwayne Moore's 1124286109?
The Kevin Dwayne Moore's NPI (National Provider Identifier) Number is 1124286109. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kevin Dwayne Moore's facilities are geographically located?
The facilities of Kevin Dwayne Moore are physically situated at the following location: 500 W Aqua Ave, Coeur D Alene, ID, 838157764.
What is Kevin Dwayne Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Dwayne Moore is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124286109 to Kevin Dwayne Moore?
The Kevin Dwayne Moore received its 1124286109 assignment from the Centers for Medicare & Medicaid Services on 2008-05-27.
When was the information pertaining to Kevin Dwayne Moore most recently updated or revised?
The details related to Kevin Dwayne Moore, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-27.
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