Individual
ETHAN MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
274 UNION BLVD STE 100, LAKEWOOD, CO 80228-1836
(303) 232-0391
Mailing address
1 OLD SCHOOLHOUSE RD, PURDYS, NY 10578
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0019931
CO
Other
Enumeration date
09/01/2023
Last updated
07/28/2024
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