Individual
MATTHEW MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 S MAPLE ST, EATON, OH 45320-9413
(937) 456-5537
Mailing address
1450 OAK PARK DR, RICHMOND, IN 47374-1630
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA.06378
OH
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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