Individual
MICHAEL P MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
306 STONER LOOP STE 3, LAKESIDE, MT 59922-8601
(406) 844-0744
(406) 844-0759
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13127
MT
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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