Individual
MADISON MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1210 CANYON HILLS RD, THERMOPOLIS, WY 82443-3137
(307) 864-5591
Mailing address
1318 ODELL AVE, THERMOPOLIS, WY 82443-2543
(620) 376-8385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0968
WY
225200000X
Physical Therapy Assistant
14-03300
KS
Other
Enumeration date
11/16/2017
Last updated
09/16/2021
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