Individual
DR. RUTH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
108 MAIN ST, ELLSWORTH, ME 04605-1919
(207) 619-4886
Mailing address
413 MARIAVILLE RD, ELLSWORTH, ME 04605-3410
(207) 546-1405
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172M00000X
Mechanotherapist
—
—
202D00000X
Integrative Medicine Physician
Primary
NONE
ME
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2019
Last updated
09/14/2022
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